Serafín-Anaya F J, Castañeda-Castañeira E, Díaz S, Palacios O, Gutiérrez-Trujillo G
Arch Invest Med (Mex). 1978;9 Suppl 1:371-4.
The diagnostic usefulness of different laboratory tests was evaluated in 20 cases of invasive intestinal amebiasis: the direct coproparasitoscopic exam in mucus obtained by rectoscopy was positive in 90.0 per cent of cases; the same exam done in mucus obtained by the spoon technique was positive in 40.0 per cent. The serum antibodies investigated by the counterimmunoelectrophoresis technique were found in 40.0 per cent of the cases in the first blood sample obtained at the hospital admisssion, and 15 days later this percentage increased to 66.6 percent. The fecal antigen studied by the ELISA technique was positive in 70.0 per cent of the cases. Simultaneously, the therapeutic effectiveness of emetine and metronidazol was evaluated, and with both therapeutic programs total recovery was obtained in 100.0 per cent of the cases; there were no significative differences in the symptoms duration after the start of therapy, and side effects were not observed. The results must be considered preliminary, because the calculated full sample has not been concluded.
对20例侵袭性肠道阿米巴病患者评估了不同实验室检查的诊断价值:通过直肠镜检查获取的黏液进行直接粪便寄生虫镜检,90.0%的病例呈阳性;通过勺取法获取的黏液进行同样检查,40.0%的病例呈阳性。采用对流免疫电泳技术检测血清抗体,在入院时采集的第一份血样中,40.0%的病例检测到抗体,15天后该比例增至66.6%。采用酶联免疫吸附测定技术检测粪便抗原,70.0%的病例呈阳性。同时,评估了依米丁和甲硝唑的治疗效果,两种治疗方案均使100.0%的病例完全康复;治疗开始后症状持续时间无显著差异,且未观察到副作用。由于尚未完成计算得出的完整样本,这些结果必须视为初步结果。