Diagnosis of neuroschistosomiasis by antibody specificity index and semi-quantitative real-time PCR from cerebrospinal fluid and serum
Standard
Diagnosis of neuroschistosomiasis by antibody specificity index and semi-quantitative real-time PCR from cerebrospinal fluid and serum. / Härter, Georg; Frickmann, Hagen; Zenk, Sebastian; Wichmann, Dominic; Ammann, Bettina; Kern, Peter; Fleischer, Bernhard; Tannich, Egbert; Poppert, Sven.
In: J MED MICROBIOL, Vol. 63, No. Pt 2, 01.02.2014, p. 309-12.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Diagnosis of neuroschistosomiasis by antibody specificity index and semi-quantitative real-time PCR from cerebrospinal fluid and serum
AU - Härter, Georg
AU - Frickmann, Hagen
AU - Zenk, Sebastian
AU - Wichmann, Dominic
AU - Ammann, Bettina
AU - Kern, Peter
AU - Fleischer, Bernhard
AU - Tannich, Egbert
AU - Poppert, Sven
PY - 2014/2/1
Y1 - 2014/2/1
N2 - We describe the case of a 16-year-old German male expatriate from Ghana who presented with obstipation, dysuria, dysaesthesia of the gluteal region and the lower limbs, bilateral plantar hypaesthesia and paraesthesia without pareses. A serum-cerebrospinal fluid (CSF) Schistosoma spp. specific antibody specificity index of 3.1 was considered highly suggestive of intrathecal synthesis of anti-Schistosoma spp. specific antibodies, although standardization of this procedure has not previously been described. Diagnosis was confirmed by detection of Schistosoma DNA in CSF by semi-quantitative real-time PCR at 100-fold concentration compared with serum. Accordingly the two diagnostic procedures, which have not previously been applied for routine diagnosis, appear to be useful for the diagnosis of neuroschistosomiasis. Clinical symptoms resolved following anthelmintic and anti-inflammatory therapy.
AB - We describe the case of a 16-year-old German male expatriate from Ghana who presented with obstipation, dysuria, dysaesthesia of the gluteal region and the lower limbs, bilateral plantar hypaesthesia and paraesthesia without pareses. A serum-cerebrospinal fluid (CSF) Schistosoma spp. specific antibody specificity index of 3.1 was considered highly suggestive of intrathecal synthesis of anti-Schistosoma spp. specific antibodies, although standardization of this procedure has not previously been described. Diagnosis was confirmed by detection of Schistosoma DNA in CSF by semi-quantitative real-time PCR at 100-fold concentration compared with serum. Accordingly the two diagnostic procedures, which have not previously been applied for routine diagnosis, appear to be useful for the diagnosis of neuroschistosomiasis. Clinical symptoms resolved following anthelmintic and anti-inflammatory therapy.
KW - Adolescent
KW - Animals
KW - Antibodies, Helminth
KW - Antibody Specificity
KW - DNA, Helminth
KW - Emigrants and Immigrants
KW - Germany
KW - Ghana
KW - Humans
KW - Male
KW - Neuroschistosomiasis
KW - Real-Time Polymerase Chain Reaction
KW - Schistosoma
U2 - 10.1099/jmm.0.066142-0
DO - 10.1099/jmm.0.066142-0
M3 - SCORING: Journal article
C2 - 24227876
VL - 63
SP - 309
EP - 312
JO - J MED MICROBIOL
JF - J MED MICROBIOL
SN - 0022-2615
IS - Pt 2
ER -