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. 2004 Jan;42(1):449-52.
doi: 10.1128/JCM.42.1.449-452.2004.

Serodiagnosis of chronic and acute Chagas' disease with Trypanosoma cruzi recombinant proteins: results of a collaborative study in six Latin American countries

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Serodiagnosis of chronic and acute Chagas' disease with Trypanosoma cruzi recombinant proteins: results of a collaborative study in six Latin American countries

Eufrosina S Umezawa et al. J Clin Microbiol. 2004 Jan.

Abstract

An enzyme-linked immunosorbent assay to diagnose Chagas' disease by a serological test was performed with Trypanosoma cruzi recombinant antigens (JL8, MAP, and TcPo). High sensitivity (99.4%) and specificity (99.3%) were obtained when JL8 was combined with MAP (JM) and tested with 150 serum samples from chagasic and 142 nonchagasic individuals. Moreover, JM also diagnosed 84.2% of patients in the acute phase of T. cruzi infection.

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Figures

FIG. 1.
FIG. 1.
(A) Reactivity data of T. cruzi recombinant antigens MAP, JL8, and TcPo individually or in various combinations of two or three proteins (JM, MT, and MJT) with sera from 11 Brazilian patients with well-defined chronic-phase Chagas' disease. (B) Reactivity data of recombinant mixtures JM, MT, MJT, and BHF with 19 acute-phase sera. The sensitivities of the different antigens or tests are shown at the bottom of the figure. EAE-ELISA data are shown in panels A and B. For each antigen, the average is indicated by the short horizontal line, and the arrow indicates the cutoff value.
FIG. 2.
FIG. 2.
Reactivity data of recombinant antigens JM with 150 serum samples from patients infected with T. cruzi from regions of Bolivia (Bol), Brazil (Br), Honduras (Ho), Mexico and Venezuela (Me/Ve), and Panama (Pa) where Chagas' disease is endemic. For each country, the average is indicated by the short horizontal line, and the arrow indicates the cutoff value.

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