Post operative surveillance of human hydatidosis: evaluation of immunodiagnostic tests

Pathology. 1992 Apr;24(2):75-9. doi: 10.3109/00313029209063628.

Abstract

We investigated the kinetics of antibodies detected by indirect hemagglutination (IHA), IgE Elisa and immunoelectrophoresis (IEP) in patients with hydatid disease operated on and continuously followed in the pre-operative and post-operative periods. In the pre-operative phase the IgE Elisa test was found to be adequately sensitive (68.4%) compared with IHA (79%), with a ratio of IgE Elisa/IHA positivity of 87%, while IEP was positive in 55.3% of cases (IEP/IHA ratio = 70%). During post-operative follow-up IHA became negative late in patients who were cured (7 out of 11 were still positive after 4 yrs), whereas IEP and IgE Elisa became negative within 2 yrs of operation (apart from 1 patient with a persisting positive IgE Elisa 3 yrs later). However, IgE Elisa appeared clearly more sensitive in revealing postoperative recurrences (13 out of 13 patients had positive IgE Elisa, vs. 6 out of 13 IEP).

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Antibodies, Helminth / blood
  • Antibodies, Helminth / immunology*
  • Echinococcosis / immunology*
  • Echinococcosis / surgery
  • Enzyme-Linked Immunosorbent Assay
  • Evaluation Studies as Topic
  • Female
  • Hemagglutination Tests
  • Humans
  • Immunoelectrophoresis
  • Immunoglobulin E / blood
  • Immunoglobulin E / immunology
  • Immunologic Tests*
  • Kinetics
  • Male
  • Middle Aged
  • Postoperative Period
  • Recurrence
  • Sensitivity and Specificity

Substances

  • Antibodies, Helminth
  • Immunoglobulin E