Indirect immunofluorescence test in New World leishmaniasis: serological and clinical relationship

Mem Inst Oswaldo Cruz. 1988 Jul-Sep;83(3):347-55. doi: 10.1590/s0074-02761988000300012.

Abstract

The indirect immunofluorescence test (IF) for anti-Leishmania antibodies (IgG and IgM) was performed with sera from the following groups of individuals: 214 cutaneous leishmaniasis patients, 28 healthy subjects with positive Montenegro's skin test (MST), 29 healthy subjects with negative MST and 16 visceral leishmaniasis patients. The first four groups came from a suburban area of Rio de Janeiro (Jacarepaguá) where cutaneous leishmaniasis caused by Leishmania braziliensis braziliensis is endemic. It was observed that IF-IgM titers were significantly higher amongst the cutaneous leishmaniasis patients with less than four months of disease as compared to those with longer periods and that IF-IgG titers were significantly higher in patients with multiple lesions as compared to those with single lesions. The visceral leishmaniasis patients had IF-IgG titers significantly higher than those from cutaneous leishmaniasis patients. A group of 28 individuals selected amongst the 214 cutaneous leishmaniasis patients had their IF-titers (IgG and IgM) compared to those of the two control groups of healthy subjects from the endemic area, respectively with positive and negative MST. Significantly higher titers of IF-IgG and IF-IgM were found in the group with active disease. The same group of patients showed IF-IgG titers significantly lower at the end of the antimonial therapy than those observed during this treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Anti-Idiotypic / analysis*
  • Brazil
  • Child
  • Child, Preschool
  • Female
  • Fluorescent Antibody Technique
  • Humans
  • Immunoglobulin G / analysis*
  • Immunoglobulin M / analysis*
  • Infant
  • Infant, Newborn
  • Leishmaniasis / diagnosis*
  • Leishmaniasis / drug therapy
  • Male
  • Meglumine / therapeutic use
  • Meglumine Antimoniate
  • Middle Aged
  • Organometallic Compounds / therapeutic use
  • Prognosis
  • Skin Tests / methods

Substances

  • Antibodies, Anti-Idiotypic
  • Immunoglobulin G
  • Immunoglobulin M
  • Organometallic Compounds
  • Meglumine
  • Meglumine Antimoniate