Clinical Evaluation of Commercial Serological Test for Bartonella Infection

We evaluated the usefulness of a serological diagnostic kit (Bartonella IFA IgG, IgM; MRL Diagnostics) for Bartonella henselae infection. Of the 110 healthy individuals, 107 (97.3%) were with titers being less than 1: 64 for IgG antibody to B. henselae, 2 were with titers being 1: 64 and 1 with 1: 1...

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Veröffentlicht in:Kansenshogaku Zasshi 2000/04/20, Vol.74(4), pp.387-391
Hauptverfasser: TSUNEOKA, Hidehiro, FUJII, Reiko, FUJISAWA, Keiko, IINO, Hidechika, ISIDA, Chizuru, MURAKAMI, Kyoko, TSUKAHARA, Masato
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container_issue 4
container_start_page 387
container_title Kansenshogaku Zasshi
container_volume 74
creator TSUNEOKA, Hidehiro
FUJII, Reiko
FUJISAWA, Keiko
IINO, Hidechika
ISIDA, Chizuru
MURAKAMI, Kyoko
TSUKAHARA, Masato
description We evaluated the usefulness of a serological diagnostic kit (Bartonella IFA IgG, IgM; MRL Diagnostics) for Bartonella henselae infection. Of the 110 healthy individuals, 107 (97.3%) were with titers being less than 1: 64 for IgG antibody to B. henselae, 2 were with titers being 1: 64 and 1 with 1: 128. IgM antibody to B. henselae was negative in all individuals. Serological diagnosis of cat scratch disease (CSD) using indirect fluorescence antibody (IFA) methods (in-house and diagnostic kit) was made in either elevated titers of IgM (≥1: 20) or IgG (≥1: 256) antibodies, or a four-fold rise in IgG titer between acute and convalescent sera. Of the 18 individuals with serological diagnosis of CSD by in-house IFA method in 26 CSD clinical diagnosed patients, 15 (83%) were compatible with the results of the diagnostic kit, whereas 3 (17%) were not compatible. Of the 8 without serological diagnosis, 1 (13%) was serologically diagnosed as CSD, and the others were negative. Overall, the serological diagnosis was made in 16 of 26 (62%). The specificity and sensitivity of this kit were 100% and 62%, respectively. The cross-reaction between B. henselae and Bartonella quintana was observed in sera from comtrols and patients. Our results show that the diagnostic kit as well as in-house method is an useful tool for the serological diagnosis of cat scratch disease.
doi_str_mv 10.11150/kansenshogakuzasshi1970.74.387
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Of the 110 healthy individuals, 107 (97.3%) were with titers being less than 1: 64 for IgG antibody to B. henselae, 2 were with titers being 1: 64 and 1 with 1: 128. IgM antibody to B. henselae was negative in all individuals. Serological diagnosis of cat scratch disease (CSD) using indirect fluorescence antibody (IFA) methods (in-house and diagnostic kit) was made in either elevated titers of IgM (≥1: 20) or IgG (≥1: 256) antibodies, or a four-fold rise in IgG titer between acute and convalescent sera. Of the 18 individuals with serological diagnosis of CSD by in-house IFA method in 26 CSD clinical diagnosed patients, 15 (83%) were compatible with the results of the diagnostic kit, whereas 3 (17%) were not compatible. Of the 8 without serological diagnosis, 1 (13%) was serologically diagnosed as CSD, and the others were negative. Overall, the serological diagnosis was made in 16 of 26 (62%). The specificity and sensitivity of this kit were 100% and 62%, respectively. The cross-reaction between B. henselae and Bartonella quintana was observed in sera from comtrols and patients. 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J. A. Inf. D</addtitle><description>We evaluated the usefulness of a serological diagnostic kit (Bartonella IFA IgG, IgM; MRL Diagnostics) for Bartonella henselae infection. Of the 110 healthy individuals, 107 (97.3%) were with titers being less than 1: 64 for IgG antibody to B. henselae, 2 were with titers being 1: 64 and 1 with 1: 128. IgM antibody to B. henselae was negative in all individuals. Serological diagnosis of cat scratch disease (CSD) using indirect fluorescence antibody (IFA) methods (in-house and diagnostic kit) was made in either elevated titers of IgM (≥1: 20) or IgG (≥1: 256) antibodies, or a four-fold rise in IgG titer between acute and convalescent sera. Of the 18 individuals with serological diagnosis of CSD by in-house IFA method in 26 CSD clinical diagnosed patients, 15 (83%) were compatible with the results of the diagnostic kit, whereas 3 (17%) were not compatible. Of the 8 without serological diagnosis, 1 (13%) was serologically diagnosed as CSD, and the others were negative. Overall, the serological diagnosis was made in 16 of 26 (62%). The specificity and sensitivity of this kit were 100% and 62%, respectively. The cross-reaction between B. henselae and Bartonella quintana was observed in sera from comtrols and patients. 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subjects Adolescent
Adult
Aged
Bartonella henselae
cat scratch disease
Cat-Scratch Disease - immunology
Child
Child, Preschool
Evaluation Studies as Topic
Female
Humans
IgG antibody
IgM antibody
indirect fluorescence antibody
Infant
Male
Middle Aged
Reagent Kits, Diagnostic - standards
Serologic Tests - instrumentation
title Clinical Evaluation of Commercial Serological Test for Bartonella Infection
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