Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio

Since serologic tests have not proven useful for diagnosis of toxoplasmosis in immunodeficient patiens (patients with hematologic malignancies, bone marrow transplant, solid organ transplant or AIDS) and sometimes in immunocompetent patients (to establish congenital infection in the fetus and newbor...

Full description

Bibliographic Details
Main Author: Alessandra Orsi
Format: Article
Language:English
Published: PAGEPress Publications 2003-12-01
Series:Microbiologia Medica
Online Access:http://www.pagepressjournals.org/index.php/mm/article/view/3033
_version_ 1818473063963951104
author Alessandra Orsi
author_facet Alessandra Orsi
author_sort Alessandra Orsi
collection DOAJ
description Since serologic tests have not proven useful for diagnosis of toxoplasmosis in immunodeficient patiens (patients with hematologic malignancies, bone marrow transplant, solid organ transplant or AIDS) and sometimes in immunocompetent patients (to establish congenital infection in the fetus and newborn and ocular toxoplasmosis) we have used the polymerase chain reaction (PCR) to detect Toxoplasma gondii DNA and tissue cell cultures to isolate the parasite. DNA was amplified using external primers and, in a second step, internal primers, in a nested PCR system. The isolation of parasite was performed on fibroblast cell culture (MRC-5).130 samples were examinated: amniotic fluid (53), cerebrospinal fluid (CSF) (37), blood (32),aqueous fluid (3),biopsy (3),urine (1) and sample from abortion(1). The PCR was performed on all samples and was positive in eight cases: three amniotic fluids, two CSF, two blood and one biopsy. The cell culture was made on 63 samples (53 amniotic fluid and 10 blood) and was positive in two cases of amniotic fluid confirming the PCR results. Because positive predictive value of PCR range from 50 % to 80% this technique should not be used alone for prenatal diagnosis of congenital toxoplasmosis.The positive samples other than amniotic fluid came all from AIDS patients.
first_indexed 2024-04-14T04:16:44Z
format Article
id doaj.art-c2cb5288f0b04826bc18a55884d0f994
institution Directory Open Access Journal
issn 2280-6423
language English
last_indexed 2024-04-14T04:16:44Z
publishDate 2003-12-01
publisher PAGEPress Publications
record_format Article
series Microbiologia Medica
spelling doaj.art-c2cb5288f0b04826bc18a55884d0f9942022-12-22T02:12:48ZengPAGEPress PublicationsMicrobiologia Medica2280-64232003-12-0118410.4081/mm.2003.30332281Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennioAlessandra OrsiSince serologic tests have not proven useful for diagnosis of toxoplasmosis in immunodeficient patiens (patients with hematologic malignancies, bone marrow transplant, solid organ transplant or AIDS) and sometimes in immunocompetent patients (to establish congenital infection in the fetus and newborn and ocular toxoplasmosis) we have used the polymerase chain reaction (PCR) to detect Toxoplasma gondii DNA and tissue cell cultures to isolate the parasite. DNA was amplified using external primers and, in a second step, internal primers, in a nested PCR system. The isolation of parasite was performed on fibroblast cell culture (MRC-5).130 samples were examinated: amniotic fluid (53), cerebrospinal fluid (CSF) (37), blood (32),aqueous fluid (3),biopsy (3),urine (1) and sample from abortion(1). The PCR was performed on all samples and was positive in eight cases: three amniotic fluids, two CSF, two blood and one biopsy. The cell culture was made on 63 samples (53 amniotic fluid and 10 blood) and was positive in two cases of amniotic fluid confirming the PCR results. Because positive predictive value of PCR range from 50 % to 80% this technique should not be used alone for prenatal diagnosis of congenital toxoplasmosis.The positive samples other than amniotic fluid came all from AIDS patients.http://www.pagepressjournals.org/index.php/mm/article/view/3033
spellingShingle Alessandra Orsi
Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio
Microbiologia Medica
title Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio
title_full Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio
title_fullStr Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio
title_full_unstemmed Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio
title_short Le ricerche dirette nella diagnosi di Toxoplasmosi. Esperienza di un triennio
title_sort le ricerche dirette nella diagnosi di toxoplasmosi esperienza di un triennio
url http://www.pagepressjournals.org/index.php/mm/article/view/3033
work_keys_str_mv AT alessandraorsi lericerchedirettenelladiagnosiditoxoplasmosiesperienzadiuntriennio