Trypomastigote Excretory Secretory Antigen Blot Is Associated With Trypanosoma cruzi Load and Detects Congenital T. cruzi Infection in Neonates, Using Anti–Shed Acute Phase Antigen Immunoglobulin M

Author:

Noazin Sassan1,Lee Jessica A2,Malaga Edith S3,Valencia Ayala Edward3,Condori Beth J3,Roca Cristian3,Lescano Andres G4,Bern Caryn5,Castillo Walter3,Mayta Holger136,Menduiña Maria Carmen7,Verastegui Manuela R36,Tinajeros Freddy8,Gilman Robert H136,Miranda-Schaeubinger Monica,Chakravarti Indira,Ferriss Ellen L,Chavez Clariza,Velarde Jean Karla,Urquizu Federico,Gorena Mirko,Bowman Natalie,Hinojosa Edith,

Affiliation:

1. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

2. School of Medical Sciences, University of Manchester, United Kingdom

3. Infectious Diseases Research Laboratory, Department of Cellular Molecular Sciences, School of Science and Philosophy

4. Emerge, Emerging Diseases and Climate Change Research Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia

5. Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco

6. Asociación Benéfica PRISMA, Lima, Peru

7. Percy Boland Maternity Hospital

8. Asociación Benéfica PRISMA, Santa Cruz, Bolivia

Abstract

We studied immunoglobulin M–specific shed acute phase antigen bands for diagnosing congenital Chagas disease in newborns. With quantitative polymerase chain reaction as the gold standard, sensitivity was 80%, and specificities were 94% and 100% in areas of endemicity and nonendemicity, respectively.

Funder

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

Reference34 articles.

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4. Prospective study of Chagas disease in newborn children with placental infection caused by Trypanosoma cruzi (Santa Cruz-Bolivia);Azogue;Rev Soc Bras Med Trop,1991

5. The transmission de Chagas disease in Salta and the detection of congenital cases;Basombrío;Medicina (B Aires),1999

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