DOI

  • Veronique Dermauw
  • Hélène Carabin
  • Assana Cissé
  • Athanase Millogo
  • Zébika Tarnagda
  • Rasmané Ganaba
  • John Noh
  • Sukwan Handali
  • Kathleen Breen
  • Vivian Richter
  • Rabiou Cissé
  • Pierre-Marie Preux
  • Marie-Paule Boncoeur-Martel
  • Andrea Sylvia Winkler
  • Anke Van Hul
  • Pierre Dorny
  • Sarah Gabriël

Current guidelines for the diagnosis of neurocysticercosis (NCC) recommend the use of the lentil lectin-bound glycoprotein enzyme-linked immunoelectrotransfer blot assay (LLGP-EITB) as the reference standard for serological testing. In response to the drawbacks involved with the use of the LLGP-EITB, a recombinant T24H antigen (rT24H) EITB assay was developed, with promising results. However, the test has yet to be evaluated among individuals from sub-Saharan Africa (SSA). The aim of the present study was to investigate the performance of the rT24H EITB assay for the detection of NCC cases in a panel of serum samples (N = 366, of which 173 patients presented with epileptic seizures and/or severe chronic headaches, and 193 matched manifestation-free participants) collected as part of a large community-based trial in Burkina Faso. A perfect agreement between the rT24H EITB and the native gp24 (and its homodimer, gp42) LLGP-EITB was found (kappa value of 1.0). Furthermore, among patients with the neurological manifestations of interest who underwent a computed tomography scan, the rT24H EITB and native antigen LLGP-EITB had a comparable ability to correctly identify NCC cases with multiple viable (rT24H: sensitivity: 80.0%), single viable (66.7%), and calcified/degenerating cysts only (25.0%), albeit for multiple viable and calcified cysts, the rT24H estimated sensitivity seemed lower, but more uncertain, than previously reported. The rT24H EITB specificity was high (98.2%) and in line with previous studies. This study confirms the value of the recombinant rT24H EITB as an alternative to the native antigen LLGP-EITB for the diagnosis of NCC in a SSA community setting.

Originele taal-2Engels
TijdschriftAmerican Journal of Tropical Medicine and Hygiene
Volume98
Nummer van het tijdschrift2
Pagina's (van-tot)565-569
Aantal pagina's5
ISSN0002-9637
DOI's
StatusGepubliceerd - 2018

ID: 2231057