Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni

IntroductionThe diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.MethodsWe describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.ResultsELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.ConclusionsOur data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.

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Main Authors: Grenfell,Rafaella Fortini Queiroz, Martins,Watson, Drummond,Sandra Costa, Antunes,Carlos Maurício de Figueiredo, Voieta,Izabela, Otoni,Alba, Oliveira,Áureo Almeida de, Silva-Moraes,Vanessa, Oliveira,Eduardo Ribeiro de, Oliveira,Edward, Lambertucci,José Roberto, Fonseca,Cristina Toscano, Coelho,Paulo Marcos Zech
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2013
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000200208
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spelling oai:scielo:S0037-868220130002002082015-10-27Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoniGrenfell,Rafaella Fortini QueirozMartins,WatsonDrummond,Sandra CostaAntunes,Carlos Maurício de FigueiredoVoieta,IzabelaOtoni,AlbaOliveira,Áureo Almeida deSilva-Moraes,VanessaOliveira,Eduardo Ribeiro deOliveira,EdwardLambertucci,José RobertoFonseca,Cristina ToscanoCoelho,Paulo Marcos Zech Schistosomiasis mansoni Immunological diagnosis Schistosomula antigens Acute outbreak IntroductionThe diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.MethodsWe describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.ResultsELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.ConclusionsOur data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.info:eu-repo/semantics/openAccessSociedade Brasileira de Medicina Tropical - SBMTRevista da Sociedade Brasileira de Medicina Tropical v.46 n.2 20132013-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000200208en10.1590/0037-8682-0064-2012
institution SCIELO
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country Brasil
countrycode BR
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libraryname SciELO
language English
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author Grenfell,Rafaella Fortini Queiroz
Martins,Watson
Drummond,Sandra Costa
Antunes,Carlos Maurício de Figueiredo
Voieta,Izabela
Otoni,Alba
Oliveira,Áureo Almeida de
Silva-Moraes,Vanessa
Oliveira,Eduardo Ribeiro de
Oliveira,Edward
Lambertucci,José Roberto
Fonseca,Cristina Toscano
Coelho,Paulo Marcos Zech
spellingShingle Grenfell,Rafaella Fortini Queiroz
Martins,Watson
Drummond,Sandra Costa
Antunes,Carlos Maurício de Figueiredo
Voieta,Izabela
Otoni,Alba
Oliveira,Áureo Almeida de
Silva-Moraes,Vanessa
Oliveira,Eduardo Ribeiro de
Oliveira,Edward
Lambertucci,José Roberto
Fonseca,Cristina Toscano
Coelho,Paulo Marcos Zech
Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
author_facet Grenfell,Rafaella Fortini Queiroz
Martins,Watson
Drummond,Sandra Costa
Antunes,Carlos Maurício de Figueiredo
Voieta,Izabela
Otoni,Alba
Oliveira,Áureo Almeida de
Silva-Moraes,Vanessa
Oliveira,Eduardo Ribeiro de
Oliveira,Edward
Lambertucci,José Roberto
Fonseca,Cristina Toscano
Coelho,Paulo Marcos Zech
author_sort Grenfell,Rafaella Fortini Queiroz
title Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
title_short Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
title_full Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
title_fullStr Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
title_full_unstemmed Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
title_sort acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of schistosoma mansoni
description IntroductionThe diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.MethodsWe describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.ResultsELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.ConclusionsOur data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.
publisher Sociedade Brasileira de Medicina Tropical - SBMT
publishDate 2013
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000200208
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