Leishmaniasis recidivans recurrence after 43 years: a clinical and immunologic report after successful treatment.

We describe a patient with very late recurring leishmaniasis recidivans from whom lesional biopsy samples were obtained during and after topical steroid treatment that demonstrated the ability of the host to contain the parasite in the absence of therapy. Combination therapy with intralesional sodium stibogluconate and oral itraconazole was successful and immunologic data suggest that both CD4(+) and CD8(+) T cell subsets had roles in this disease process.

Nephelometric density adjustment of leptospiral antigen.

In testing leptospirosis by microagglutination, reproducibility of the results is affected by population age and germ concentration. These undersirable factors can be avoided if antibody identification is made with cultures incubated for 7 to 21 days and adjusted to 50 X 10(6) leptospires per millilitre. Most suitable for the purpose is an analogue mode based on nephelometry and the probability theory. The obtained statistical data furnish calculated and tabulated apparatus values which are used for standardizing with the aid of a newly developed nepheloflask with compression-spring stirrer.

[The result-sequence method (sequence analysis) in leptospira research. 3. Communication: The bilateral sequential test (de Boer, Armitage) for testing the difference of mean values of two binomial distributions (author's transl)]. / Das Ergebnis-Folge-Verfahren (Sequenzanalyse) in der Leptospirenforschung. 3. Mitteilung: Der zweiseitig sequentielle Test (de Boer, Armitage) zum Prüfen der Differenz von Mittelwerten zweier Binomialverteilungen

The influence of the liver-activated and non-activated cytostatic drug Cyclophosphamid on the respiration of Leptospira biflexa semaranga Veldrat S 173 was tested in three different concentrations by group-sequential testing of two relative frequencies in a two-sided test-reading. The conditioned probability theta = 0.82 results from thetan = 0.40 and thetaa = 0.75. On account of a practicable sample size, we choose theta' = 0.80 (activated form superior) and theta'' = 0.20 (non-activated form superior). The test-adjusted level of significance is alpha = 0.05 less than beta = 0.10. The expected values for the number of discordant pairs are Etheta' = Etheta'' = 13, Etheta = 1/1 = 14 and Ethetamax = 16. The acceptance inspection performed by control chart and tabulated reference figures results - in comparison with conventional procedures - in savings of discordant pairs of 65 per cent (concentration 10(-4) g/ml) in a decision in favour of activated form, of 65 per cent (concentration 10(-8) g/ml) in an equal efficiency of both states of Cyclophosphamid and of 10 per cent (concentration 10(-11) g/ml) in a non-significant difference. Taking into consideration all unrestrictedly selected pairs, the duration of the experiment takes only 4.25 months instead of 6.75 if the statistical data analysis is not performed conventionally, but group-sequentially instead.