Mannweiler E, Lederer I, zum Felde I
Zentralbl Bakteriol Orig A. 1978 Apr;240(3):397-402.
Using the indirect fluorescent antibody test, leishmanial antibodies could be demonstrated in patients with Leishmaniasis. In 18 of 22 cases of kala-azar the titers ranged between 1:160 and 1:1280. In the complement fixation test the titers in patients with kala-azar varied between greater than 1:4 in one case and less than or equal to 1:512 in twelve of the 22 patients. Complement fixing antibodies could not be detected in five of the nine patients with cutaneous or mucocutaneous leishmaniasis. The indirect haemagglutination test proved to be not suitable for diagnostic purposes because it did not detect antibodies in nine out of 22 cases with kala-azar. The IgG fraction of the serum immunoglobulins was increased in most patients with kala-azar. Sensitivity and specificity of the three immunological methods are discussed with reference to the results in 832 undefined sera submitted for routine diagnosis.
采用间接荧光抗体试验,可在利什曼病患者体内检测到利什曼原虫抗体。在22例黑热病患者中,有18例的抗体效价在1:160至1:1280之间。在补体结合试验中,黑热病患者的抗体效价在1例中大于1:4,在22例患者中的12例中小于或等于1:512。9例皮肤或黏膜皮肤利什曼病患者中有5例未检测到补体结合抗体。间接血凝试验被证明不适用于诊断,因为在22例黑热病患者中有9例未检测到抗体。大多数黑热病患者血清免疫球蛋白的IgG组分增加。参照832份提交常规诊断的未明确血清的检测结果,对这三种免疫学方法的敏感性和特异性进行了讨论。