Schlisio W, Ziegler K
Z Gesamte Inn Med. 1986 Aug 1;41(15):422-7.
The antibody level (ELISA) in schistosomiasis much increased one month after therapy. The sanation of the parasitosis within 6 months led to the reduction of the values to the initial level without any further later decrease. The antibody kinetics was the same after successful Niridazol and Praziquantel treatment. When Niridazol failed a second treatment with Praziquantel led to a repeated significant increase. The decrease after the second peak was much steeper and obtained the initial level already 3 months after sanation. Patients with falsely negative ELISA before the treatment reacted partly positive one month after this. One third of all patients examined reacted negatively also at this time. Falsely positive findings in patients from endemic areas (specificity 0.74) seem to be no cross reaction to another affection with helminths, but seem to be traced back to an earlier inapparent schistosomiasis.
治疗后一个月,血吸虫病患者的抗体水平(酶联免疫吸附测定法)大幅升高。寄生虫病在6个月内得到治愈,抗体值降至初始水平,之后未再进一步下降。使用硝硫氰胺和吡喹酮成功治疗后,抗体动力学情况相同。当硝硫氰胺治疗失败后,再次使用吡喹酮治疗会导致抗体水平再次显著升高。第二次峰值出现后的下降更为陡峭,治愈后3个月就已恢复到初始水平。治疗前酶联免疫吸附测定法结果为假阴性的患者,治疗后一个月部分转为阳性。所有接受检查的患者中有三分之一此时反应仍为阴性。来自流行地区患者的假阳性结果(特异性为0.74)似乎并非与其他蠕虫感染的交叉反应,而是似乎可追溯到早期未显现的血吸虫病。