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Title: Comparative efficacy of antigen and antibody detection tests for human trichinellosis

Journal Article · · J. Parasitol.; (United States)
DOI:https://doi.org/10.2307/3282932· OSTI ID:6173509

Sera collected from patients with suspected or confirmed exposure to Trichinella spiralis were tested for circulating parasite antigens and antiparasite antibodies. Using an immunoradiometric assay, excretory--secretory antigens from muscle-stage larvae of T. spiralis were detected in the sera of 47% of 62 patients with clinical trichinellosis and 13% of 39 patients without clinical signs but suspected of exposure to infected meat. In comparison, antibodies were detected using an indirect immunofluorescent test in the circulation of 100% of the 62 patients with clinical trichinellosis and 46% of the 39 patients with suspected exposure. The presence of antibodies specific to excretory-secretory products of T. spiralis muscle larvae was confirmed in the majority of the samples tested by a monoclonal antibody-based competitive inhibition assay. These results indicate that antibody detection is a more sensitive diagnostic method for human trichinellosis, but that antigen detection might be a useful confirmatory test because it is a direct demonstration of parasite products in the circulation.

Research Organization:
Institute of Endocrinology, Immunology and Nutrition, Zemun (Yugoslavia)
OSTI ID:
6173509
Journal Information:
J. Parasitol.; (United States), Vol. 75:1
Country of Publication:
United States
Language:
English