Evaluation of Seven Tests for Diagnosis of Human Brucellosis in an Area Where the Disease Is Endemic

Author:

Gómez M. Concepción123,Nieto José A.123,Rosa Carmen123,Geijo Paloma123,Escribano M. Ángeles123,Muñoz Amparo123,López Clara123

Affiliation:

1. Microbiology Laboratory Hospital Severo Ochoa (Leganés), Madrid

2. Department of Internal Medicine

3. Microbiology Laboratory, Hospital Virgen de la Luz, Cuenca, Spain

Abstract

ABSTRACT The results of seven serologic tests for diagnosis of human brucellosis were evaluated. The titrated Rose Bengal test, microagglutination test, microtiter-adapted Coombs test, and immunocapture-agglutination test (Brucellacapt) were positive for all sera from patients with acute brucellosis. The immunoglobulin G (IgG), IgM, and IgA commercial enzyme immunoassays (ELISAs) failed to show specific antibodies in 3 patients, 10 patients, and 1 patient, respectively. The sensitivity of ELISA is not higher than that of conventional tests.

Publisher

American Society for Microbiology

Subject

Microbiology (medical),Clinical Biochemistry,Immunology,Immunology and Allergy

Reference20 articles.

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2. Araj, G. F., A. R. Lulu, M. Y. Mustafa, and M. I. Khateeb. 1986. Evaluation of ELISA in the diagnosis of acute and chronic brucellosis in human beings. J. Hyg.97:457-469.

3. Bettelheim, K. A., W. J. Maskill, and J. Pearce. 1983. Comparison of standard tube and microagglutination techniques for determining Brucella antibodies. J. Hyg.90:33-39.

4. Cooper, C. W. 1992. Prevalence of antibody to Brucella in asymptomatic well individuals in Saudi Arabia. J. Trop. Med. Hyg.95:140-142.

5. Díaz, R., and I. Moriyon. 1989. Laboratory techniques in the diagnosis of human brucellosis, p. 73-83. In E. J. Young and M. J. Corbel (ed.), Brucellosis: clinical and laboratory aspects. CRC Press, Boca Raton, FL.

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