Invasive pulmonary aspergillosis diagnosed early by polymerase chain reaction assay

被引:8
|
作者
Kawamura, S [1 ]
Maesaki, S [1 ]
Omagari, K [1 ]
Hashiguchi, K [1 ]
Tomono, K [1 ]
Tashiro, T [1 ]
Kohno, S [1 ]
机构
[1] Nagasaki Univ, Sch Med, Dept Internal Med 2, Nagasaki 8528501, Japan
关键词
serodiagnosis; Aspergillus fumigatus; enzyme-linked immunosorbent assay (ELISA); galactomannan; prednizolone;
D O I
10.2169/internalmedicine.38.744
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We compared the usefulness of a polymerase chain reaction (PCR) assay for the early diagnosis of invasive pulmonary aspergillosis with the serodiagnosis of sufficient concentrations of galactomannan using the same serum samples. A patient was treated with prednisolone for the management of hepatitis. Computed tomography (CT) scan of the chest showed the nodular shadow with a cavity containing a clear fungus ball. DNA of Aspergillus spp. from a serum sample was detected and using the same serum sample, both latex agglutination and sandwich enzyme-linked immunosorbent assay (ELISA) of galactomannan were negative. PCR assay provides an early diagnosis of invasive pulmonary aspergillosis compared with ELISA of galactomannan.
引用
收藏
页码:744 / 746
页数:3
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