Name
PREGNANCY
DESCRIPTION
DETAIL
DIAGNOSIS OF ACUTE INFECTION :- * A. TISSUE & BODY FLUIDS :- - BY ISOLATION OF THE PARASITE FROM BLOOD OR OTHER BODY FLUIDS AFTER SUBINOCULATION OF THE SAMPLE INTO PERITONEAL CAVITY OF MICE. MICE SHOULD BE TESTED FOR ORGANISM IN THE PERITONEAL CAVITY 6-10 DAYS AFTER INOCULATION. IF NO ORGANISM, THAN ITS ANTITOXOPLASMA SERUM TITER CAN BE EVALUATED AFTER 4 - 6 WEEKS. - ISOLATION OF T. GONDII FROM THE PATIENTS BODY FLUIDS - DEMONSTRATION OF TACHYZOITES IN LYMPH NODES. * B. SEROLOGY TESTS : - DETECTION OF SIMULTANEOUS PRESENCE OF IGG & IGM ANTIBODIES TO TOXOPLASMA IN SERUM. - PRESENCE OF CIRCULATING IGA FAVOURS ACUTE INFECTION - SABIN-FELDMAN DYE TEST - INDIRECT FLUORESCENT ANTIBODY TEST - ENZYME LINKED IMMUNOSORBENT ASSAY ( ELISA ) - POSITIVE IGG TITERS ( > 1 : 10 ) CAN BE DETECTED AS EARLY AS 2 -3 WKS AFTER INFECTION. - PARASITIC ANTIGEN SPECIFIC POLYCLONAL IGG ASSAY - PARASITIC ANTIGEN SPECIFIC PCR TO ESTABLISH TIME OF INFECTION IGM & IGG TITERS ARE DONE IN CONCERT FOR WHICH FOLLOWING TESTS ARE AVAILABLE - DOUBLE-SANDWICH IGM - ELISA - IGM - IMMUNOSORBENT ASSAY ( IGM - ISAGA ) TO DETECT CONGENITAL INFECTION IN FETUR & NEW BORN - DOUBLE SANDWICH IGA - ELISA IS MORE SENSITIVE THAN IGM - ELISA - PCR OF AMNIOTIC FLUID TO DETECT B 1 GENE OF PARASITE HAS REPLACED FETAL BLOOD SAMPLING. IN TOXOPLASMA ENCEPHALITIS - SPECT ( SINGLE PHOTON EMMISSION CT ) HAS BEEN TOUTED AS A DEFINITIVE MEANS OF DETECTING OR RULING OUT TOXOPLASMA INFECTION.
TYPENOTES
RELATED DISEASE
Not Available Disease
Disease
Remarks
TOXOPLASMOSIS
IF NO EVIDENCE OF PLACENTA / FETAL INFECTION, SINGLE DRUG TT WITH SPIRAMYCIN OTHERWISE TRIPPLE DRUG TT WITH SPIRAMYCIN, PYRIMETHAMINE & SULPHA IS RECOMMENDED
DISEASE
INVESTIGATION
TORCH PROFILE, COMPLETE BLOOD COUNT