[Laboratory diagnosis of toxoplasmosis]. 2000

F Ondriska, and N A Jalili, and G Catar
Institute of Parasitology, School of Medicine, Comenius University, Bratislava.

Toxoplasmosis is a world-wide spread parasitosis. The disease potentially highly affects two groups of patients: foetus and immunosuppressed patients. The determination of diagnosis and therapy on the basis of a single serum examination is very important; possible on the basis of a single serum sample. In most cases, it is possible to differentiate between recent and latent infections using a combination of suitable methods, which permit us to confirm particular antibody classes. In the presented paper the authors suggest diagnostic procedures for 4 groups of patients: pregnant, neonates with suspected congenital toxoplasmosis, immunodeficient patients and immunocompetent patients. The diagnostic methods consist of a combination of basic and supplemented diagnostic methods. Each patient's serum should be tested by basic tests which include the detection of total antibodies with CFT or IFT and specific classes of IgM and IgG antibodies by ELISA. The potential activity of toxoplasma infection can be determined by supplementary methods of e.g. IgG avidity antibodies, establishment of IgA antibodies, western blotting method and monitoring of antibodies production. For each situation the authors present interpretations of suspected cases including proposals for clinicians. These procedures are suggested for practical use in laboratories of various diagnostic levels in order to help to the diagnostic procedures in a particular situation as well as for clinical evaluation of established results. (Fig. 4, Ref. 65).

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014123 Toxoplasmosis The acquired form of infection by Toxoplasma gondii in animals and man. Toxoplasma gondii Infection,Infection, Toxoplasma gondii
D014125 Toxoplasmosis, Congenital Prenatal protozoal infection with TOXOPLASMA gondii which is associated with injury to the developing fetal nervous system. The severity of this condition is related to the stage of pregnancy during which the infection occurs; first trimester infections are associated with a greater degree of neurologic dysfunction. Clinical features include HYDROCEPHALUS; MICROCEPHALY; deafness; cerebral calcifications; SEIZURES; and psychomotor retardation. Signs of a systemic infection may also be present at birth, including fever, rash, and hepatosplenomegaly. (From Adams et al., Principles of Neurology, 6th ed, p735) Congenital Toxoplasma gondii Infection,Toxoplasmosis, Fetal,Toxoplasmosis, Prenatal,Congenital Infection, Toxoplasma gondii,Congenital Toxoplasma Infections,Congenital Toxoplasmosis,Toxoplasma Infections, Congenital,Congenital Toxoplasma Infection,Congenital Toxoplasmoses,Fetal Toxoplasmoses,Fetal Toxoplasmosis,Infection, Congenital Toxoplasma,Infections, Congenital Toxoplasma,Prenatal Toxoplasmoses,Prenatal Toxoplasmosis,Toxoplasma Infection, Congenital,Toxoplasmoses, Congenital,Toxoplasmoses, Fetal,Toxoplasmoses, Prenatal
D015597 Pregnancy Complications, Parasitic The co-occurrence of pregnancy and parasitic diseases. The parasitic infection may precede or follow FERTILIZATION. Parasitic Pregnancy Complications,Complications, Parasitic Pregnancy,Pregnancy, Parasitic Complications,Complication, Parasitic Pregnancy,Complications Pregnancies, Parasitic,Complications Pregnancy, Parasitic,Parasitic Complications Pregnancies,Parasitic Complications Pregnancy,Parasitic Pregnancy Complication,Pregnancies, Parasitic Complications,Pregnancy Complication, Parasitic
D016867 Immunocompromised Host A human or animal whose immunologic mechanism is deficient because of an immunodeficiency disorder or other disease or as the result of the administration of immunosuppressive drugs or radiation. Immunosuppressed Host,Immunocompromised Patient,Host, Immunocompromised,Host, Immunosuppressed,Hosts, Immunocompromised,Hosts, Immunosuppressed,Immunocompromised Hosts,Immunocompromised Patients,Immunosuppressed Hosts,Patient, Immunocompromised,Patients, Immunocompromised

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