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Original Article

Serologic Tests of IgG and IgM Antibodies and IgG Avidity for Diagnosis of Ocular Toxoplasmosis

Bahman Rahimi-Esboei1, Mohammad Zarei2, Mehdi Mohebali1, Hossein Keshavarz Valian1,*, Saeedeh Shojaee1, Raziyeh Mahmoudzadeh2, Mirataollah Salabati2
The Korean Journal of Parasitology 2018;56(2):147-152.
Published online: April 30, 2018

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*Corresponding author (hkeshavarz@tums.ac.ir)
• Received: October 16, 2017   • Revised: February 16, 2018   • Accepted: February 20, 2018

Copyright © 2018 by The Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Serologic Tests of IgG and IgM Antibodies and IgG Avidity for Diagnosis of Ocular Toxoplasmosis
Korean J Parasitol. 2018;56(2):147-152.   Published online April 30, 2018
DOI: https://doi.org/10.3347/kjp.2018.56.2.147
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Serologic Tests of IgG and IgM Antibodies and IgG Avidity for Diagnosis of Ocular Toxoplasmosis
Korean J Parasitol. 2018;56(2):147-152.   Published online April 30, 2018
DOI: https://doi.org/10.3347/kjp.2018.56.2.147
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Serologic Tests of IgG and IgM Antibodies and IgG Avidity for Diagnosis of Ocular Toxoplasmosis
Image
Fig. 1 This fundus photograph of the right eye shows a typical macular hyperpigmented toxoplasmic scar adjacent to an active white retinochoroiditis patch, inflammation of nearby vessels and overlying vitreous haziness.

Fig. 1

Serologic Tests of IgG and IgM Antibodies and IgG Avidity for Diagnosis of Ocular Toxoplasmosis

Association of anti-Toxoplasma gondii IgG levels in patients with ocular toxoplasmosis and demographic/epidemiologic descriptors

Variable IgG P-value
No. positive (%) No. intermediate (%) No. negative (%)
Sex
 Male 44 (67.6) 1 (1.5) 20 (30.7) 0.171
 Female 33 (63.4) 5 (9.6) 14 (26.9)
Living area
 Urban 24 (40.0) 5 (8.3) 31 (51.6) 0.000
 Rural 53 (92.9) 1 (1.7) 3 (5.2)
Contact to cat
 Yes 38 (92.6) 1 (2.4) 2 (4.8) 0.000
 No 39 (51.3) 5 (6.5) 32 (42.1)
Eating raw/undercooked meat
 Yes 13 (92.8) 0 (0.0) 1 (7.1) 0.081
 No 64 (62.1) 6 (5.8) 33 (32.0)
Age
 0–10 14 (48.2) 3 (10.3) 12 (41.3) 0.002
 11–20 29 (70.7) 2 (4.8) 10 (24.3)
 21–30 25 (86.2) 0 (0.0) 4 (13.7)
 31–40 9 (31.0) 1 (3.4) 4 (13.7)
 41–50 0 (0.0) 0 (0.0) 3 (100.0)
 >50 0 (0.0) 0 (0.0) 1 (100.0)

Association of anti-Toxoplasma gondii IgM levels in patients with ocular toxoplasmosis and demographic/epidemiologic descriptors

Variable IgM P-value
No. positive (%) No. negative (%)
Sex
 Male 4 (6.1) 61 (93.8) 1.000
 Female 4 (7.6) 48 (92.3)
Living area
 Urban 6 (10.0) 54 (90.0) 0.273
 Rural 2 (3.5) 55 (96.4)
Contact to cat
 Yes 4 (9.7) 37 (90.2) 0.448
 No 4 (5.2) 72 (94.7)
Eating raw/undercooked meat
 Yes 1 (7.1) 13 (92.8) 1.000
 No 7 (6.7) 96 (93.2)
Age
 0–10 2 (6.8) 27 (93.1) 0.420
 11–20 5 (12.1) 36 (87.8)
 21- 30 1 (3.4) 28 (96.5)
 31–40 0 (0.0) 14 (100.0)
 41–50 0 (0.0) 3 (100.0)
 >50 0 (0.0) 1 (100.0)

Results of serological tests for IgG, IgM, and IgG avidity in 117 patients with ocular toxoplasmosis

IgG IgM IgG avidity
No. positive No. intermediate No. negative No. positive No. negative Low Intermediate High
No. of cases (%) 77 (65.8) 6 (5.1) 34 (29.1) 8 (6.8) 109 (93.2) 11 (9.4) 4 (3.4) 102 (87.2)

Distribution of test results on IgM and IgG antibodies and IgG avidity in 117 patients

Comparison IgM P-value*
No. positive (%) No. negative (%)
Results of avidity 2 (25.0) 9 (8.3) 0.006
 Low 2 (25.0) 2 (1.8)
 Intermediate 4 (50.0) 98 (89.9)
 High
Results of IgG 7 (87.5) 70 (64.2) 0.632
 Positive 0 (0.0) 6 (5.5)
 Intermediate 1 (12.5) 33 (30.3)
 Negative

*P-value higher than 0.05 is considered as significant.

Agreement between tests, expressed as kappa coefficient

Test pair Kappa value Asymptomatic standard error Approx. T Approx. sig
IgG- IgM 0.080 0.033 2.029 0.042
IgG- IgG avidity 0.099 0.028 2.649 0.008
IgM- IgG avidity 0.721 0.095 8.869 0.000
Table 1 Association of anti-Toxoplasma gondii IgG levels in patients with ocular toxoplasmosis and demographic/epidemiologic descriptors
Table 2 Association of anti-Toxoplasma gondii IgM levels in patients with ocular toxoplasmosis and demographic/epidemiologic descriptors
Table 3 Results of serological tests for IgG, IgM, and IgG avidity in 117 patients with ocular toxoplasmosis
Table 4 Distribution of test results on IgM and IgG antibodies and IgG avidity in 117 patients

P-value higher than 0.05 is considered as significant.

Table 5 Agreement between tests, expressed as kappa coefficient

Table 1

Table 2

Table 3

Table 4

Table 5

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