Rapid diagnosis of tuberculous meningitis by a dot-immunobinding assay

Acta Neurol Scand. 2000 Jan;101(1):61-4. doi: 10.1034/j.1600-0404.2000.00012.x.

Abstract

In this study, a dot-immunobinding assay (Dot-Iba) was standardized to measure circulating antimycobacterial antibodies in the cerebrospinal fluid (CSF) specimens for the rapid laboratory diagnosis of tuberculous meningitis (TBM). Specific CSF-IgG antibody to Mycobacterium tuberculosis from a culture proven patient with TBM was isolated and coupled with activated Cynogen bromide-Sepharose 4B. Using an immunoabsorbent affinity chromatography, 14 kDa antigen present in the culture filtrates of M. tuberculosis was isolated and this antigen was used in the Dot-Iba, to quantitate specific antimycobacterial antibodies in CSF specimens. The Dot-Iba gave positive results in all the 5 culture proven patients with TBM and gave no false positive results in CSFs from patients with partially treated pyogenic meningitis. Dot-Iba developed in our laboratory is a simple, rapid and specific method and more importantly suited for the routine application in laboratories with limited resources.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Bacterial / cerebrospinal fluid*
  • Diagnosis, Differential
  • Electrophoresis, Polyacrylamide Gel
  • Humans
  • Immunoassay
  • Immunoblotting
  • Immunoglobulin G / cerebrospinal fluid*
  • Mycobacterium tuberculosis / immunology*
  • Predictive Value of Tests
  • Tuberculosis, Meningeal / diagnosis*
  • Tuberculosis, Meningeal / immunology

Substances

  • Antibodies, Bacterial
  • Immunoglobulin G