Comparison of Methods in the Serologic Diagnosis of Cystic Echinococcosis

© 2024. The Author(s)..

PURPOSE: Cystic echinococcosis (CE) is caused by the larval form of Echinococcus granulosus. Clinical, radiologic, pathologic, and serologic findings should be evaluated together for the diagnosis of CE. The sensitivity and specificity oalf serologic tests may vary depending on the method used. In this study, we aimed to detect IgG antibodies specific to E. granulosus using indirect hemagglutination assay (IHA), enzyme-linked immunosorbent assay (ELISA), indirect fluorescent antibodies (IFA) and western blot (WB) tests.

METHODS: In our study, the serum samples of 74 patients sent to our laboratory with suspicion of CE were studied using two different commercial IHA tests, ELISA, IFA and WB test. The test results were evaluated along with radiological findings and histopathological examinations, the latter being the gold standard.

RESULTS: Of all the patients, 51 (69%) were female and 23 (31%) were male. There was a statistically significant difference between males and females (χ2 = 9.7, p = 0.002). Out of 74 patients, positivity rates for Siemens IHA, Fumouze IHA, ELISA, IFA and WB test were positive as 33 (44.6%), 35 (47.3%), 43 (58.1%), 42 (56.7%) and 38 (51.3%), respectively. The sensitivity and specificity of the tests were as follows: 66.67 and 2.31% for Siemens IHA; 70.83% and 96.15% for Fumouze IHA; 85.42%, and 88.46% for ELISA; 83.33% and 88.46% for IFA; 72.92% and 88.46% for WB test.

CONCLUSION: There were statistically significant differences in between all five methods (p < 0,001). While the tests with the highest specificity was Fumouze IHA, the test with the highest sensitivity was the ELISA test. It was concluded that IHA and ELISA tests were more practical in practice because of their greater applicability.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Acta parasitologica - (2024) vom: 29. März

Sprache:

Englisch

Beteiligte Personen:

Erganis, Sidre [VerfasserIn]
Sarzhanov, Fakhriddin [VerfasserIn]
Al, Funda Doğruman [VerfasserIn]
Cağlar, Kayhan [VerfasserIn]

Links:

Volltext

Themen:

Anti-Echinococcus IgG
Cystic echinococcosis
Hydatid cyst
Journal Article
Serologic diagnosis

Anmerkungen:

Date Revised 29.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s11686-024-00840-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37041294X