Assay of teichoic acid antibodies and antistaphylolysin in the diagnosis of Staphylococcal osteomyelitis

Scand J Infect Dis. 1982;14(2):123-6. doi: 10.3109/inf.1982.14.issue-2.09.

Abstract

Teichoic acid antibodies (TAA), measured by gel diffusion, and antistaphylolysin (ASa) values were determined in 46 osteomyelitis patients and 200 healthy controls. A positive TAA titer (greater than or equal to 4) was seen in 4/16 patients with acute hematogenous osteomyelitis caused by Staphylococcus aureus and in 7/22 patients with chronic staphylococcal osteomyelitis, while ASta was positive (greater than or equal to 2.0 IU/ml) in 9 patients in both groups all except 2 exceeding 4.0 IU/ml. No positive TAA titres or ASta values were seen in 8 patients with chronic nonstaphylococcal osteomyelitis. The rate of positive test results in 200 controls was 7% for TAA and 4% for ASta. Basing diagnosis on a positive value in either of the tests gave 21 positive results in 38 patients with staphylococcal osteomyelitis; 18 by ASta alone and 11 by TAA alone. Both tests were positive at the same time in 3 patients with acute and in 5 patients with chronic staphylococcal osteomyelitis but never in controls.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antibodies / analysis*
  • Antibodies, Bacterial / analysis*
  • Child
  • Female
  • Hemolysin Proteins / analysis*
  • Humans
  • Immunoglobulins*
  • Male
  • Middle Aged
  • Osteomyelitis / diagnosis*
  • Staphylococcal Infections / diagnosis*
  • Teichoic Acids / immunology*

Substances

  • Antibodies
  • Antibodies, Bacterial
  • Hemolysin Proteins
  • Immunoglobulins
  • Teichoic Acids
  • antistaphylolysin