Rapid, simple serodiagnosis of murine typhus

Trans R Soc Trop Med Hyg. 1995 Nov-Dec;89(6):625-8. doi: 10.1016/0035-9203(95)90417-4.

Abstract

The dot-blot enzyme-linked immunosorbent assay (dot-ELISA) was compared to latex agglutination (LA) and the Weil-Felix OX-19 test for the diagnosis of murine typhus using the indirect immunofluorescent antibody (IFA) test as the 'gold standard'. With a panel of 74 positive and 47 negative sera, the dot-ELISA was 98% specific and 74% sensitive at a cut-off value of the second dot. With acute sera, latex agglutination was 100% specific and 74% sensitive at a cut-off titre of > or = 1:64. Both tests were more sensitive than the OX-19 test, which was 98% specific and 56% sensitive at a titre of > or = 1:320. Both dot-ELISA and latex agglutination were comparable and the results were available within one hour of testing. The rapidity, ease in performance and minimal requirement for electrical instruments made these 2 tests suitable for the diagnosis of murine typhus in countries where sophisticated laboratory facilities are lacking.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Agglutination Tests
  • Enzyme-Linked Immunosorbent Assay / methods
  • Fluorescent Antibody Technique
  • Humans
  • Latex Fixation Tests
  • Sensitivity and Specificity
  • Time Factors
  • Typhus, Endemic Flea-Borne / diagnosis*