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Immunodiagnosis in osteoarticular tuberculosis by ELISA
1Department of Orthopaedic Surgery, Mahatma Gandhi Institute of Medical Sciences, Wardha, Sevagram 442102, Maharashtra, India.
The National Medical Journal of India
|May 25, 2018
Summary
Enzyme-linked immunosorbent assay (ELISA) using Antigen 60 shows promise as a cost-effective diagnostic tool for osteoarticular tuberculosis. This antibody test aids in confirming the disease, especially when biopsy is not feasible.
Area of Science:
- Immunology
- Microbiology
- Orthopedics
Background:
- Diagnosing osteoarticular tuberculosis traditionally lacked a cheap and reliable confirmatory test.
- Enzyme-linked immunosorbent assay (ELISA) for detecting circulating antibodies has emerged as a potentially valuable diagnostic method.
- This study investigated the utility of ELISA in the context of osteoarticular tuberculosis.
Purpose of the Study:
- To evaluate the effectiveness of ELISA using Antigen 60 for diagnosing osteoarticular tuberculosis.
- To compare ELISA results in patients with confirmed osteoarticular tuberculosis against a control group.
Main Methods:
- Fifty patients diagnosed with osteoarticular tuberculosis were studied.
- Thirty-four patients had biopsy-proven tuberculosis, while 16 responded to chemotherapy.
- Enzyme-linked immunosorbent assay (ELISA) was performed using Antigen 60, a Mycobacterium tuberculosis cell wall antigen, comparing results with 50 matched controls.
Main Results:
- The ELISA test demonstrated high sensitivity, correctly identifying 27 out of 34 biopsy-proven cases.
- The test was positive in 11 out of 16 patients who showed improvement with chemotherapy.
- Only one control subject tested positive, indicating high specificity.
Conclusions:
- Enzyme-linked immunosorbent assay (ELISA) utilizing Antigen 60 appears to be a valuable and reliable confirmatory diagnostic test for osteoarticular tuberculosis.
- This method offers a potentially cost-effective alternative for confirming the clinical diagnosis of osteoarticular tuberculosis.
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