Detection of antileishmanial IgG antibodies and Leishmania-specific antigens in sera from Yemeni patients with visceral leishmaniasis.

As part of an attempt to develop an effective method for the serodiagnosis of visceral leishmaniasis (VL), the sera from 43 Yemeni cases of the disease were screened both for antileishmanial IgG antibodies and for Leishmania-specific antigens. Indirect ELISA and capture ELISA were used to test each serum for the antibodies and antigens, respectively. Sera from patients with diseases other than leishmaniasis (29 for the antibody-detection assays and 42 for the antigen-detection) and from apparently healthy volunteers were also tested. For each type of assay, the threshold for seropositivity was set three standard deviations above the mean absorbance value for the sera from the healthy volunteers. Thirty-seven of the 43 VL sera were found positive for Leishmania-specific IgG antibodies and 37 were found positive for Leishmania-specific antigens. The sensitivities of the antibody- and antigen-detection assays were both therefore 86%. The overall specificity of the antibody-detection ELISA (67%) was, however, slightly higher than that of the capture-ELISA (64%).