Title
Anti-Fas2 IgM antibodies in Fasciola hepatica infected patients with positive IgG serology
Date Issued
01 March 2017
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Oxford University Press
Abstract
Background: Fascioliasis is an infectious disease caused by parasites Fasciola hepatica and F. gigantica. Humans are infected by the consumption of vegetables and water contaminated with the infective form of the parasite. Materials and Methods: In this study, an IgM-ELISA with the cysteine proteinase Fas2 antigen was evaluated with sera from 76 patients infected with F. hepatica, 24 patients with other parasite infections and 84 healthy volunteers. Results: IgM-ELISA resulted in 43% positives in F. hepatica patients with positive serology to Fas2-ELISA, but no positives resulted from testing healthy volunteers and individuals infected with other parasites. The IgMELISA diagnostic parameters showed a sensitivity of 43.4% (95% CI 0.321-0.553), specificity of 100% (95% CI 0.957-1), and no cross-reactivity with other parasitic infection. Interference by rheumatoid factor in the IgM immunoassay was controlled by treating sera with rheumatoid factor absorbent before testing. Conclusions: Fas2 antigen is detected by circulating IgM in patients infected with F. hepatica and IgM-ELISA using Fas2 appears as a specific immunoassay to detect the acute phase of the acute phase of F. hepatica infection in humans.
Start page
102
End page
106
Volume
111
Issue
3
Language
English
Scopus EID
2-s2.0-85021732416
PubMed ID
Source
Transactions of the Royal Society of Tropical Medicine and Hygiene
ISSN of the container
00359203
Sources of information: Directorio de Producción Científica Scopus