2010, Cilt 40, Sayı 1, Sayfa(lar) 016-021 |
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Investigation of the Serological Profiles of Pregnant Women Who Were Tested for Anti-Toxoplasma gondii IgG Avidity |
Fahriye Ekşi, Tekin Karslıgil, Ayşen Bayram, Yasemin Zer, Buket Katrancı, İclal Balcı |
Gaziantep Üniversitesi Tıp Fakültesi Tıbbi Mikrobiyoloji Anabilim Dalı, Gaziantep |
Keywords: Toxoplasma gondii, anti-Toxoplasma gondii IgG avidity |
Objective: Toxoplasmosis which is a parasitic illness caused by Toxoplasma gondii, may lead to congenital
infection resulting in abortion or birth of fetus with several anomalies. Thus prenatal diagnosis of toxoplasmosis
is of crucial importance. This study was performed to retrospectively evaluate the toxoplasma serological profiles
of pregnant women who were admitted to the hospital for anti-Toxoplasma gondii IgG avidity testing.
Materials and Methods: Serum samples were collected from 130 pregnant women admitted to the Gynecology
and Obstetrics Clinic of Gaziantep University Hospital, Turkey, between June 2007 and January 2009. Toxoplasma
gondii IgM and IgG antibodies were investigated by Enzyme Linked Fluorescent Assay (ELFA) technique.
Subsequently, Toxoplasma gondii IgG avidity was determined by ELFA method.
Results: While Toxoplasma gondii IgG antibody positivity was determined in all patients, anti-Toxoplasma gondii
IgM was positive in 68 (52.3%), negative in 56 (43.1%) and borderline in six (4.6%) subjects. Among the 68
anti-Toxoplasma gondii IgM positive subjects, 20 (15.4%) were found to have high avidity, 42 (32.3%) presented
low avidity and six (4.6%) had borderline avidity. Fifty (38.5%) anti-Toxoplasma gondii IgM negative subjects
presented high-avidity and the number of each low-avidity and borderline avidity presenting subjects was three
(%2.3). In subjects having borderline anti-Toxoplasma gondii IgM, 5 (3.8%) were found to have high-avidity and
only one (0.8%) had low-avidity. In all subjects who were investigated for anti-Toxoplasma gondii IgG avidity
testing, high-avidity was found in 75 (57.7%), and low-avidity was found in 46 (35.4%). Borderline value avidity
was determined in nine (6.9%) subjects.
Conclusion: It was concluded that the determination of IgG avidity in Toxoplasma gondii IgG and IgM positive
pregnant women might help to differentiate acute toxoplasmosis from a past infection and act accordingly.
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