Antibody levels against pneumolysin, a virulence factor in pneumococcal inf
ections were evaluated by a neutralization test, using crude pneumolysin, A
study population of 28 hospitalised children with culture proven pneumococ
cal meningitis and pneumonia were tested for detection of antipneumolysin a
ntibodies in their serum. Results were compared with age and sex matched co
ntrols who were admitted with infections other than pneumococcal, Geometric
mean titer (GMT) of antipneumolysin in serum of patients with pneumococcal
infections showed a significant difference when compared with controls, GM
T of 196.1 and 185.2 were noted in patients with meningitis and pneumonia r
espectively, in contrast to a titer of 40.32 among controls. A difference o
f more than 4-fold antibody titers between patients and controls was consid
ered significant. Detection of antipneumolysin in serum can therefore be co
nsidered as a useful laboratory investigation in diagnosing invasive pneumo
coccal infections.