Contribution a l'étude de l'hypersensibilité dans l'échinococcose hydatique

Serodiagnosis of human hydatid disease in Riyadh, Saudi Arabia

The Indirect Haemagglutination (IHA) test was used routinely for the diagnosis of hydatid disease in patients at the King Abdul Aziz and King Khalid University Hospitals, Riyadh, Saudi Arabia. Among 52 patients with suspected human hydatid disease, 30 positive cases were detected by means of serodiagnosis. As a control group, the level of hydatid IHA antibodies were determined in blood donors and in patients with no history of human hydatid disease. The serological results obtained in this control group showed that 70% had no hydatid IHA antibodies whereas 25% had antibody titres of 1:4 to 1:8, which are of no clinical significance.

The immunological diagnosis of human hydatid disease

There is evidence that the yearly incidence rate of hydatid disease may be increasing in endemic areas and in regions of the world hitherto free of the infection. The availability of an accurate method of detection in both man and other animals would facilitate understanding of the global epidemiology. The diagnostic procedures in use in human hydatidosis have often given inconclusive results in animal infections. The following tests are discussed and their usefulness appraised: intradermal, complement fixation, haemagglutination, latex agglutination, indirect fluorescent antibody, immunoelectrophoresis, counter immunoelectrophoresis, enzyme linked immunosorbent assay, radio-immuno assay and lymphocyte transformation.