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Klin Lab Diagn ; (3): 30-3, 2013 Mar.
Artigo em Russo | MEDLINE | ID: mdl-23808023

RESUMO

The comparative evaluation of effectiveness of different nontreponema tests in analysis of cerebrospinal fluid. The liquor from 100 patients with syphilis was analyzed using Bordet-Gengou test, VDRL test and micro-precipitation reaction with cardiolipin antigen. The Bordet-Gengou test and VDRL test made in Russia or abroad are equally effective in analysis of positive samples of liquor and twice surpass the same capacity of micro-precipitation reaction with cardiolipin antigen in case of neurosyphilis with symptoms and thrice surpass in case of asymptomatic neurosyphilis. VDRL test is a simple standardized nontreponema reaction which can substitute labor-consuming non-unified liquorologic complex in laboratory diagnostic of neurosyphilis. The testing of liquor on the basis of micro-precipitation reaction with cardiolipin antigen is non-effective and results in false negative results in Bordet-Gengou and VDRL positive tests determining high risk of erroneous clinical considerations.


Assuntos
Neurossífilis/diagnóstico , Sorodiagnóstico da Sífilis/métodos , Adulto , Idoso , Anticorpos Antibacterianos/imunologia , Cardiolipinas/imunologia , Técnicas de Laboratório Clínico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neurossífilis/líquido cefalorraquidiano , Neurossífilis/epidemiologia , Federação Russa , Treponema pallidum/imunologia , Treponema pallidum/isolamento & purificação , Adulto Jovem
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