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Document Details
Document Type
:
Article In Journal
Document Title
:
RELATIONSHIP BETWEEN CIRCULATING ANTIGEN LEVEL AND MORBIDITY IN SCHISTOSOMA MANSONI-INFECTED CHILDREN EVALUATED BY ULTRASONOGRAPHY
RELATIONSHIP BETWEEN CIRCULATING ANTIGEN LEVEL AND MORBIDITY IN SCHISTOSOMA MANSONI-INFECTED CHILDREN EVALUATED BY ULTRASONOGRAPHY
Document Language
:
English
Abstract
:
Ninety-eight Schistosoma mansoni-infected children from an endemic area in Sharkia Governorate, Egypt were evaluated by abdominal ultrasonography to determine liver and spleen sizes, grade of periportal fibrosis, ands splenic vein diameter. Circulating antigen levels were measured using a double sandwich ELISA in which the sensitivity was 91.8% and specificity was . 99%, with no evidence of cross-reactivity with other parasites. No significant relationship was observed between antigen level and clinical stages of the disease as assessed by physical examination (P . 0.05). When ultrasound was used to stage disease, the mean antigen level was significantly higher among hepatosplenic cases than intestinal cases (P , 0.05). No difference in mean antigen levels were found between the splenic and hepatic cases. Furthermore, a direct correlation (P , 0.01) was observed between antigen level and disease severity as monitored by ultrasonography. Antigen level showed a positive correlation with the degree of periportal fibrosis (P , 0.05). Moreover, a significant increase in the percent of children who were antigen positive (. 80 ng/ml) was found in those with more severe periportal fibrosis (P , 0.001). The findings suggest that ultrasonography along with measurement of circulating antigen levels predict morbidity in schistosomiasis mansoni.
ISSN
:
0002-9637
Journal Name
:
Am. J. Trop. Med. Hyg.,
Volume
:
61
Issue Number
:
4
Publishing Year
:
1419 AH
1999 AD
Article Type
:
Article
Added Date
:
Friday, May 14, 2010
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
أسامة جابر
Gaber, Osama
Researcher
Doctorate
Osama@osamagaber.com
Files
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Type
Description
26662.doc
doc
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