[Modern serology of rheumatic fever and glomerulonephritis (author's transl)]. 1977

C E Pilars de Pilar, and J Friedrich, and H Spiess

For the assessment of the situation after streptococcal infection and thus for prevention of rheumatic fever and glomerulonephritis more simple and rapid serological tests are needed. The principle of indirect haemagglutination seems particularly suited for this purpose. A rapid slide test (streptozyme) for the simultaneous detection of antibodies against five streptococcal enzymes in capillary blood or serum was compared to four monospecific tests: latex-Asl, Antistreptolysin-O (ASL-O), antistreptokinase and anti NADase. Several lots of test kits and more than four hundred sera of adults and children with and without suspected rheumatic fever were tested. The number of falsely negative and falsely positive results was small as compared to single monospecific tests. Additional positive reactions were obtained when the ASL-O was within the normal range, but the titer against several exoenzymes were elevated, or, when the antibodies against a single exoenzyme were extremely strong. The precision of the polyvalent test may not be quite as high as if three monospecific tests are applied, It is however sufficient. Thus it seems unrealistic to require the performance of at least three monospecific tests under the present epidemiological conditions.

UI MeSH Term Description Entries
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005921 Glomerulonephritis Inflammation of the renal glomeruli (KIDNEY GLOMERULUS) that can be classified by the type of glomerular injuries including antibody deposition, complement activation, cellular proliferation, and glomerulosclerosis. These structural and functional abnormalities usually lead to HEMATURIA; PROTEINURIA; HYPERTENSION; and RENAL INSUFFICIENCY. Bright Disease,Kidney Scarring,Glomerulonephritides,Scarring, Kidney
D006386 Hemagglutination Tests Sensitive tests to measure certain antigens, antibodies, or viruses, using their ability to agglutinate certain erythrocytes. (From Stedman, 26th ed) Hemagglutination Test,Test, Hemagglutination,Tests, Hemagglutination
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000906 Antibodies Immunoglobulin molecules having a specific amino acid sequence by virtue of which they interact only with the ANTIGEN (or a very similar shape) that induced their synthesis in cells of the lymphoid series (especially PLASMA CELLS).
D000989 Antistreptolysin Antibodies specific to STREPTOLYSINS which indicate STREPTOCOCCAL INFECTIONS. Antistreptolysin O
D012213 Rheumatic Fever A febrile disease occurring as a delayed sequela of infections with STREPTOCOCCUS PYOGENES. It is characterized by multiple focal inflammatory lesions of the connective tissue structures, such as the heart, blood vessels, and joints (POLYARTHRITIS) and brain, and by the presence of ASCHOFF BODIES in the myocardium and skin. Acute Rheumatic Fever,Arthritis, Rheumatic, Acute,Rheumatism, Articular, Acute,Arthritis, Acute Rheumatic,Inflammatory Rheumatism,Polyarthritis Rheumatica,Rheumatic Arthritis,Rheumatism, Acute Articular,Acute Articular Rheumatism,Acute Articular Rheumatisms,Acute Rheumatic Arthritides,Acute Rheumatic Arthritis,Acute Rheumatic Fevers,Arthritis, Rheumatic,Articular Rheumatism, Acute,Fever, Acute Rheumatic,Fever, Rheumatic,Fevers, Acute Rheumatic,Inflammatory Rheumatisms,Polyarthritis Rheumaticas,Rheumatic Arthritides,Rheumatic Arthritis, Acute,Rheumatic Fever, Acute,Rheumatic Fevers,Rheumatism, Inflammatory

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