The use of an Onchocerca volvulus microfilarial antigen skin test in an epidemiological survey of onchocerciasis in Guatemala

Onchocerca volvulus microfilariae obtained from onchocercal nodules were used as antigenic material for a skin test. This antigen is as specific as those previously employed in skin tests, detecting 85·2% of the persons with positive diagnostic signs of onchocerciasis in endemic areas. A low rate of...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 1979, Vol.73 (5), p.543-548
Hauptverfasser: Hashiguchi, Yoshihisa, Kawabata, Masato, Guillermo Zea, F., Manuel Recinos, M.C., Otto Flores, C.
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container_end_page 548
container_issue 5
container_start_page 543
container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
container_volume 73
creator Hashiguchi, Yoshihisa
Kawabata, Masato
Guillermo Zea, F.
Manuel Recinos, M.C.
Otto Flores, C.
description Onchocerca volvulus microfilariae obtained from onchocercal nodules were used as antigenic material for a skin test. This antigen is as specific as those previously employed in skin tests, detecting 85·2% of the persons with positive diagnostic signs of onchocerciasis in endemic areas. A low rate of false positives was found in the control group in non-endemic areas. The positive rate of reactions in the persons without positive signs in the endemic areas might be due to the presences of cases not detected as a result of palpation for nodules and two skin biopsies. In the examination of the residents of several populations, a close correlation was found between the positive rates of skin tests and the presence of infection. From these findings, we conclude that the skin test using the microfilarial antigen is a suitable procedure for the diagnosis of onchocerciasis. The skin test could also be useful as an epidemiological tool in assessing the effectiveness of control programmes.
doi_str_mv 10.1016/0035-9203(79)90048-8
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subjects Adolescent
Adult
Aged
Antigens - isolation & purification
Child
Child, Preschool
Epidemiologic Methods
Feces - parasitology
Guatemala
Humans
Microfilariae - immunology
Middle Aged
Onchocerca - immunology
Onchocerciasis - diagnosis
Onchocerciasis - epidemiology
Skin Tests
title The use of an Onchocerca volvulus microfilarial antigen skin test in an epidemiological survey of onchocerciasis in Guatemala
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