Serological studies of patients with cutaneous and oral-oropharyngeal anthrax from Northern Thailand

T. Sirisanthana, Kenrad Edwin Nelson, J. W. Ezzell, T. G. Abshire

Research output: Contribution to journalArticle

Abstract

An outbreak of 52 cases of cutaneous anthrax and 24 cases of oral-oropharyngeal anthrax occurred in rural Northern Thailand in 1982, caused by contaminated water buffalo meat. Microbiologic diagnosis of many of these cases was hindered by delayed presentation for care and by prior antibiotic therapy. In a retrospective investigation, we used enzyme-linked immunosorbent assays to measure antibody titers to components of anthrax edema toxin (edema factor [EF] and protective antigen [PA]), lethal toxin (lethal factor [LF] and PA), and poly-D-glutamic acid capsule. Electrophoretic-immunotransblots (EITB, Western blot) were used to detect antibodies to PA and LF. Nine patients with cutaneous anthrax, 10 patients with oral-oropharyngeal anthrax, and 43 healthy unexposed Thai control villagers were studied. Overa all, EITB was positive in 13/18 patients (sensitivity 72%) and 0/43 controls (specificity 100%). The sensitivity of the ELISA was 72% for PA, 42% for LF, 26% for EF, and 95-100% for capsule. Although a few control sera had apparent false positive titers to PA, the specificity of the ELISA confirmed by EITB (100%) demonstrated the applicability of these tests for the diagnosis of anthrax.

Original languageEnglish (US)
Pages (from-to)575-581
Number of pages7
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume39
Issue number6
StatePublished - 1988
Externally publishedYes

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Anthrax
Thailand
Antigens
Skin
Enzyme-Linked Immunosorbent Assay
Capsules
Antibodies
Buffaloes
Meat
Disease Outbreaks
Glutamic Acid
Edema
Western Blotting
Anti-Bacterial Agents
Serum

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases

Cite this

Serological studies of patients with cutaneous and oral-oropharyngeal anthrax from Northern Thailand. / Sirisanthana, T.; Nelson, Kenrad Edwin; Ezzell, J. W.; Abshire, T. G.

In: American Journal of Tropical Medicine and Hygiene, Vol. 39, No. 6, 1988, p. 575-581.

Research output: Contribution to journalArticle

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abstract = "An outbreak of 52 cases of cutaneous anthrax and 24 cases of oral-oropharyngeal anthrax occurred in rural Northern Thailand in 1982, caused by contaminated water buffalo meat. Microbiologic diagnosis of many of these cases was hindered by delayed presentation for care and by prior antibiotic therapy. In a retrospective investigation, we used enzyme-linked immunosorbent assays to measure antibody titers to components of anthrax edema toxin (edema factor [EF] and protective antigen [PA]), lethal toxin (lethal factor [LF] and PA), and poly-D-glutamic acid capsule. Electrophoretic-immunotransblots (EITB, Western blot) were used to detect antibodies to PA and LF. Nine patients with cutaneous anthrax, 10 patients with oral-oropharyngeal anthrax, and 43 healthy unexposed Thai control villagers were studied. Overa all, EITB was positive in 13/18 patients (sensitivity 72{\%}) and 0/43 controls (specificity 100{\%}). The sensitivity of the ELISA was 72{\%} for PA, 42{\%} for LF, 26{\%} for EF, and 95-100{\%} for capsule. Although a few control sera had apparent false positive titers to PA, the specificity of the ELISA confirmed by EITB (100{\%}) demonstrated the applicability of these tests for the diagnosis of anthrax.",
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