Abstract:
:We have compared molecular, immunochemical, and cytotoxic assays for the detection of diphtheria toxin from 55 isolates of Corynebacterium diphtheriae and Corynebacterium ulcerans originally isolated in five different countries. The suitabilities and accuracies of these assays for the laboratory diagnosis of diphtheria were compared and evaluated against the "gold standard" in vivo methods. The in vivo and Vero cell cytotoxicity assays were accurate in their abilities to detect diphtheria toxin but were time-consuming; however, the cytotoxicity assay is a suitable in vitro alternative to the in vivo virulence test. There was complete concordance between all the phenotypic methods. Genotypic tests based upon PCR were rapid; however, PCR must be used with caution because some isolates of C. diphtheriae possessed toxin genes but failed to express a biologically active toxin. Therefore, phenotypic confirmation of toxigenicity for the microbiological diagnosis of diphtheria is recommended.
journal_name
J Clin Microbioljournal_title
Journal of clinical microbiologyauthors
Efstratiou A,Engler KH,Dawes CS,Sesardic Ddoi
10.1128/JCM.36.11.3173-3177.1998subject
Has Abstractpub_date
1998-11-01 00:00:00pages
3173-7issue
11eissn
0095-1137issn
1098-660Xjournal_volume
36pub_type
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