Serological studies on shistosomiasis mansoni in the Northeast Brasil

Sera from the patients (N = 10) with schistosomiasis mansoni of the hospital of Federal University of Pernambuco, the Schistosoma mansoni egg-positive (N = 51) and -negative (N = 452) inhabitants in Cabo City area, out-patients (N = 37) of the IMIP hospital and Japanese immigrants (N = 127) in Petro...

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Published in:Revista do Instituto de Medicina Tropical de São Paulo 1990-04, Vol.32 (2), p.121-131
Main Authors: Tanabe, Masanobu, Okazaki, Mitsu, Okazaki, Masaichi, Kobayashi, Seiki, Kaneko, Nobuaki, Sekiguchi, Tsuneari, Tateno, Seiki, Motta, Severa R. N., Takeuchi, Tsutomu
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Language:eng ; por
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TROPICAL MEDICINE
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Summary:Sera from the patients (N = 10) with schistosomiasis mansoni of the hospital of Federal University of Pernambuco, the Schistosoma mansoni egg-positive (N = 51) and -negative (N = 452) inhabitants in Cabo City area, out-patients (N = 37) of the IMIP hospital and Japanese immigrants (N = 127) in Petrolina City area of northeast Brazil as well as Japanese healthy subjects (N = 30) were examined by serological tests including an enzyme-linked immunosorbent assay with antigens prepared from eggs (ELISA-egg) and adult worms (ELISA-adult). The ELISA with egg or adult antigen correctly identified 100% of the uninfected individuals lived in non-endemic area of schistosomiasis. Moreover, when examined cross-reactivity of our ELISA with sera isolated from 78 subjects infected with various intestinal parasitic infections, only one of these sera reacted with the egg and adult antigens. On the examination of 51 sera from the egg-positive subjects, the ELISA-egg revealed the highest sensitivity (98.0%), whereas a large number of false negative reactions of ELISA-adult, Ouchterlony method using adult antigen, circumoval precipitation and immediate intradermal skin test were observed. A low sensitivity of these serologic tests except for ELISA-egg appears to be primarily due to their inability to detect antibody in the sera from egg-positive infantiles. There was no positive correlation between the absorbance values of these two types of ELISA among the sera isolated from ELISA-positive subjects. Rather, by the reactivity of these sera to egg or adult antigen, they could be divided into two subgroups; one reacted more positively with egg antigen and the other with adult antigen. Moreover, it was confirmed that the sera from young subjects (under 20 years old) appear to be highly reactive to the egg antigen than did aged ones. These data suggest that the ELISA with egg antigen, but not with the adult antigen, appears to be useful for the serological survey of schistosomiasis mansoni in the endemic area of northeast Brazil. Soros de pacientes com esquistosomíase mansônica do Hospital das Clínicas da Universidade Federal de Pernambuco (N = 10), de residentes da cidade do Cabo (PE) - 51 casos ovo-positivo e 452 casos ovo-negativo -, de pacientes do Hospital Instituto Materno Infantil de Pernambuco (IMIP) (N = 37), de imigrantes japoneses residentes na cidade de Petrolina (PE) (N = 127), assim como de japoneses supostamente saudáveis (N = 30) foram examinados sorologicamente at
ISSN:0036-4665
1678-9946
0036-4665
DOI:10.1590/S0036-46651990000200010