Article
Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni
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GRENFELL, Rafaella Fortini Queiroz et al. Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma manson.i Rev. Soc. Bras. Med. Trop . 2013, vol.46, n.2, pp. 208-213
0037-8682
10.1590/0037-8682-0064-2012
Author
Grenfell, Rafaella Fortini Queiroz
Martins, Watson Mauricio Herman
Drummond, Sandra Costa
Antunes, Carlos Maurício de Figueiredo
Voieta, Izabela
Otoni, Alba
Oliveira, Áureo Almeida de
Moraes, Vanessa Silva
Oliveira, Eduardo Ribeiro de
Oliveira, Edward José de
Lambertucci, José Roberto
Fonseca, Cristina Toscano
Coelho, Paulo Marcos Zach
Abstract
Introduction
The diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.
Methods
We describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.
Results
ELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.
Conclusions
Our data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.