Sabin feldman Dye test is used to
demonstrate infection with ?
a) Filaria
b) Toxoplasma
c) Histoplasma
d) Ascaris
Correct Answer - B
Ans. is •b’ i.e., Toxoplasma
The polyclonal IgG antibodies evoked by infection are parasiticidal in
vitro in the presence of serum complement and are the basis for the
Sabin - Feldman dye test.
Laboratory diagnosis of toxoplasmosis
Laboratory diagnosis can be made by
- Microscopic demonstration of the parasite
- Isolation of the parasite by animal inoculation or tissue culture.
- Polymerase chain reaction
- Serology
The most common method of laboratory diagnosis
Persons should initially be tested for the presence of Toxoplasma
specific IgG antibodies to determine their
immune status. A positive IgG titre indicates infection with the
organism at sometime ( recent or past).
Then an IgG positive person should have an IgM test. A negative
test essentially excludes recent infection. However, a positive IgM
test does not always mean a recent infection because toxoplasma
specific IgM antibodies may persist for months to year following
primary infection. Therefore :?
Negative IgM with positive IgG always means a past infection.
Positive IgM with positive IgG indicates possibility of recent infection,
but not with 100% surety. It may or may not be recent infection. To
differentiate between recent and past infection, IgG avidity test is
used.
It is worth noting here that a third situation is also possible when IgM
test is positive but IgG test is negative. In this situation a second
sample should be taken after 2-4 weeks and should be tested :?
If the second sample is positive for IgG and IgM, it indicates that the
first sample was taken early in the disease when IgG was not yet
developed.
If the second sample is still negative for IgG with positive IgM, it
indicates false positive IgM test.
Tests for IgG antibodies
IgG ELISA/EIA
Sabin- Fieldman dye test
IgG indirect flourscent
antibody test(IgG IFA)
Diffemtial agglutination (
AC/HS)
Avidity test
Tests for IgM antibodies
IgM indirect flourscent antibody
test (IgM IFA)
Double sandwich ELISA
IgM capture EIA
Immunosorbant agglutination
assay ( ISAGA)