Fernandez-Andreu C M, Cadre-Raton A M, Martinez Machin G, Llop Iiernandez A, Suarez Iiernandez M
Laboratorio de Micología, Instituto de Medicina Tropical Pedro Kourí (IPK), La Habana, Cuba.
Rev Inst Med Trop Sao Paulo. 1994 Jan-Feb;36(1):83-7.
A prospective study was carried out in two groups of individuals: a group 1 (n = 40) included workers from a poultry farm, with potential occupational risk of exposure to Histoplasma capsulatum, etiologic agent of histoplasmosis, and a group 2 (n = 16), persons without occupational risk of exposure to the agent. Histoplasmin skin test was performed in both groups, and three sera were obtained from each individual: 1) before skin test was done, 2) 30 days after, and 3) 180 days after it. In both groups the histoplasmin skin test, even when the test was positive, was not a sufficient antigenic booster to provoke an increase in the H. capsulatum antibody levels capable to be detected by the serologic tests used (ELISA and Double Immunodiffusion). These results contribute to improve the interpretation of ELISA test values in the diagnosis of histoplasmosis.
第一组(n = 40)包括家禽养殖场的工人,他们有接触荚膜组织胞浆菌(组织胞浆病的病原体)的潜在职业风险;第二组(n = 16)是没有接触该病原体职业风险的人员。两组均进行了组织胞浆菌素皮肤试验,并从每个个体采集了三份血清:1)在进行皮肤试验前;2)皮肤试验后30天;3)皮肤试验后180天。在两组中,即使组织胞浆菌素皮肤试验呈阳性,也不足以作为抗原增强剂来促使荚膜组织胞浆菌抗体水平升高,使其能被所用的血清学检测方法(酶联免疫吸附测定和双向免疫扩散)检测到。这些结果有助于提高酶联免疫吸附测定试验值在组织胞浆病诊断中的解释。