Immunodiagnosis of human cysticercosis (Taenia solium): A field comparison of an antibody-enzyme-linked immunosorbent assay (ELISA), an antigen-ELISA, and an enzyme-linked immunoelectrotransfer blot (EITB) assay in Peru

J. F. Diaz, M. Verastegui, R. H. Gilman, V. C.W. Tsang, J. B. Pilcher, C. Gallo, H. H. Garcia, P. Torres, T. Montenegro, E. Miranda, R. Castillo, M. Alvarez, A. Guevara, C. Carcamo, G. Herrera, C. Evans, E. Gonzales, M. Castro, A. Chavera

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Abstract

We compared results of an enzyme-linked immunosorbent assay (ELISA) and an enzyme-linked immunoelectrotransfer blot (EITB) assay for the diagnosis of cysticercosis in sera and cerebrospinal fluid (CSF). Sera from 34 patients with confirmed cysticercosis were tested by both ELISA and EITB assays. Cerebrospinal fluid from some of these patients was also tested by ELISA for the presence of antibody (AB-ELISA) (n = 21) and antigen (AG-ELISA) (n = 15). Specificity in sera was examined by testing 51 serum samples from Bangladesh, where cysticercosis is not endemic. Cross-reactivity was evaluated in sera from patients with Echinococcus granulosus (hydatid) and Hymenolepis nana infections. Sensitivity in detecting cysticercosis in sera was 94% by EITB and 65% by AB-ELISA (P < 0.01). Sensitivities in the CSF tested by EITB, AB- ELISA, and AG-ELISA were 86%, 62%, and 67%, respectively. The specificity of the EITB was 100%, while that of AB-ELISA was 63% (P < 0.01). Cross-reactions occurred in the AB-ELISA with 11% and 20% of sera from hydatid and H. nana patients, respectively. Our results demonstrate that the EITB is the best assay available for the diagnosis of cysticercosis in both sera and CSF.
Original languageAmerican English
Pages (from-to)610-615
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
DOIs
StatePublished - 1 Jan 1992
Externally publishedYes

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    Diaz, J. F., Verastegui, M., Gilman, R. H., Tsang, V. C. W., Pilcher, J. B., Gallo, C., Garcia, H. H., Torres, P., Montenegro, T., Miranda, E., Castillo, R., Alvarez, M., Guevara, A., Carcamo, C., Herrera, G., Evans, C., Gonzales, E., Castro, M., & Chavera, A. (1992). Immunodiagnosis of human cysticercosis (Taenia solium): A field comparison of an antibody-enzyme-linked immunosorbent assay (ELISA), an antigen-ELISA, and an enzyme-linked immunoelectrotransfer blot (EITB) assay in Peru. American Journal of Tropical Medicine and Hygiene, 610-615. https://doi.org/10.4269/ajtmh.1992.46.610