SEROLOGICAL RESPONSE TO ROCHALIMAEA-HENSELAE ANTIGEN IN SUSPECTED CAT-SCRATCH DISEASE

被引:470
作者
REGNERY, RL [1 ]
OLSON, JG [1 ]
PERKINS, BA [1 ]
BIBB, W [1 ]
机构
[1] CTR DIS CONTROL,NATL CTR INFECT DIS,DIV BACTERIAL & MYCOT DIS,ATLANTA,GA 30333
关键词
D O I
10.1016/0140-6736(92)92032-B
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There are no generally accepted diagnostic tests for cat-scratch disease (CSD), the cause of which is unknown. During the development of an indirect fluorescence antibody (IFA) test for detection of antibodies to "Rochalimaea henselae", sera from patients with CSD were found to have high titres to R henselae antigens. Further tests with this assay showed that 36 (88%) of 41 patients with suspected CSD had serum titres of 64 or more to R henselae antigen, that there was a low prevalence (3%) of substantial titres to R henselae in healthy controls (n = 107), and that the immune responses to R henselae antigens were specific. These data suggest that the R henselae IFA test, or other serological assays based on R henselae, may be useful for diagnosis of CSD.
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页码:1443 / 1445
页数:3
相关论文
共 10 条
[1]   PROPOSAL OF AFIPIA GEN-NOV, WITH AFIPIA-FELIS SP-NOV (FORMERLY THE CAT SCRATCH DISEASE BACILLUS), AFIPIA-CLEVELANDENSIS SP-NOV (FORMERLY THE CLEVELAND-CLINIC-FOUNDATION STRAIN), AFIPIA-BROOMEAE SP-NOV, AND 3 UNNAMED GENOSPECIES [J].
BRENNER, DJ ;
HOLLIS, DG ;
MOSS, CW ;
ENGLISH, CK ;
HALL, GS ;
VINCENT, J ;
RADOSEVIC, J ;
BIRKNESS, KA ;
BIBB, WF ;
QUINN, FD ;
SWAMINATHAN, B ;
WEAVER, RE ;
REEVES, MW ;
OCONNOR, SP ;
HAYES, PS ;
TENOVER, FC ;
STEIGERWALT, AG ;
PERKINS, BA ;
DANESHVAR, MI ;
HILL, BC ;
WASHINGTON, JA ;
WOODS, TC ;
HUNTER, SB ;
HADFIELD, TL ;
AJELLO, GW ;
KAUFMANN, AF ;
WEAR, DJ ;
WENGER, JD .
JOURNAL OF CLINICAL MICROBIOLOGY, 1991, 29 (11) :2450-2460
[2]   CAT-SCRATCH DISEASE - AN OVERVIEW BASED ON A STUDY OF 1,200 PATIENTS [J].
CARITHERS, HA .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1985, 139 (11) :1124-1133
[3]   CAT-SCRATCH DISEASE - ISOLATION AND CULTURE OF THE BACTERIAL AGENT [J].
ENGLISH, CK ;
WEAR, DJ ;
MARGILETH, AM ;
LISSNER, CR ;
WALSH, GP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1988, 259 (09) :1347-1352
[4]   VISCERAL BACILLARY EPITHELIOID ANGIOMATOSIS - POSSIBLE MANIFESTATIONS OF DISSEMINATED CAT SCRATCH DISEASE IN THE IMMUNOCOMPROMISED HOST - A REPORT OF 2 CASES [J].
KEMPER, CA ;
LOMBARD, CM ;
DERESINSKI, SC ;
TOMPKINS, LS .
AMERICAN JOURNAL OF MEDICINE, 1990, 89 (02) :216-222
[5]  
LEBOIT PE, 1988, LANCET, V1, P960
[6]   CHARACTERIZATION OF A NOVEL ROCHALIMAEA SPECIES, R-HENSELAE SP-NOV, ISOLATED FROM BLOOD OF A FEBRILE, HUMAN IMMUNODEFICIENCY VIRUS-POSITIVE PATIENT [J].
REGNERY, RL ;
ANDERSON, BE ;
CLARRIDGE, JE ;
RODRIGUEZBARRADAS, MC ;
JONES, DC ;
CARR, JH .
JOURNAL OF CLINICAL MICROBIOLOGY, 1992, 30 (02) :265-274
[7]  
RELMAN DA, 1991, NEW ENGL J MED, V324, P1514
[8]   THE AGENT OF BACILLARY ANGIOMATOSIS - AN APPROACH TO THE IDENTIFICATION OF UNCULTURED PATHOGENS [J].
RELMAN, DA ;
LOUTIT, JS ;
SCHMIDT, TM ;
FALKOW, S ;
TOMPKINS, LS .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 323 (23) :1573-1580
[9]  
TEPPERO JW, 1991, 7 INT C AIDS FLOR, P340
[10]   ROCHALIMAEA-HENSELAE SP-NOV, A CAUSE OF SEPTICEMIA, BACILLARY ANGIOMATOSIS, AND PARENCHYMAL BACILLARY PELIOSIS [J].
WELCH, DF ;
PICKETT, DA ;
SLATER, LN ;
STEIGERWALT, AG ;
BRENNER, DJ .
JOURNAL OF CLINICAL MICROBIOLOGY, 1992, 30 (02) :275-280