Does Disseminated Nontuberculous Mycobacterial Disease Cause False-Positive Determine TB-LAM Lateral Flow Assay Results? A Retrospective Review

被引:18
作者
Nel, Jeremy S. [1 ]
Lippincott, Christopher K. [2 ]
Berhanu, Rebecca [3 ]
Spencer, David C. [4 ]
Sanne, Ian M. [5 ]
Ive, Prudence [1 ]
机构
[1] Univ Witwatersrand, Fac Hlth Sci, Helen Joseph Hosp, Div Infect Dis,Dept Internal Med, Johannesburg, South Africa
[2] Johns Hopkins Univ, Sch Med, Div Infect Dis, Baltimore, MD 21205 USA
[3] Univ N Carolina, Ctr Infect Dis, Chapel Hill, NC USA
[4] Right Care, Johannesburg, South Africa
[5] Univ Witwatersrand, Fac Hlth Sci, Sch Clin Med, Clin HIV Res Unit,Dept Internal Med, Johannesburg, South Africa
关键词
Determine TB-LAM; lipoarabinomannan; nontuberculous mycobacteria; tuberculosis; LIPOARABINOMANNAN; URINE; TUBERCULOSIS; HIV;
D O I
10.1093/cid/cix513
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We retrospectively reviewed the Determine TB-LAM lateral flow assay (LF-LAM) results among human immunodeficiency virus-infected patients with disseminated nontuberculous mycobacterial (NTM) disease. LF-LAM was positive in 19 of 21 patients without evidence of tuberculosis (TB) coinfection. Although TB-NTM coinfection may have been underdiagnosed, our results suggest that disseminated NTM disease may cause false-positive LF-LAM results.
引用
收藏
页码:1226 / 1228
页数:3
相关论文
共 14 条
[1]  
AIDS Clinical Trial Group, 2009, IMM REC INFL SYNDR G
[2]   Mycobacterial lipoarabinomannan and related lipoglycans: from biogenesis to modulation of the immune response [J].
Briken, V ;
Porcelli, SA ;
Besra, GS ;
Kremer, L .
MOLECULAR MICROBIOLOGY, 2004, 53 (02) :391-403
[3]   Detection of lipoarabinomannan (LAM) in urine is indicative of disseminated TB with renal involvement in patients living with HIV and advanced immunodeficiency: evidence and implications [J].
Lawn, Stephen D. ;
Gupta-Wright, Ankur .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 2016, 110 (03) :180-185
[4]   Underestimation of the True Specificity of the Urine Lipoarabinomannan Point-of-Care Diagnostic Assay for HIV-Associated Tuberculosis [J].
Lawn, Stephen D. ;
Kerkhoff, Andrew D. ;
Nicol, Mark P. ;
Meintjes, Graeme .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2015, 69 (04) :E144-E146
[5]   Determine TB-LAM lateral flow urine antigen assay for HIV-associated tuberculosis: recommendations on the design and reporting of clinical studies [J].
Lawn, Stephen D. ;
Dheda, Keertan ;
Kerkhoff, Andrew D. ;
Peter, Jonathan G. ;
Dorman, Susan ;
Boehme, Catharina C. ;
Nicol, Mark P. .
BMC INFECTIOUS DISEASES, 2013, 13
[6]   Point-of-care detection of lipoarabinomannan (LAM) in urine for diagnosis of HIV-associated tuberculosis: a state of the art review [J].
Lawn, Stephen D. .
BMC INFECTIOUS DISEASES, 2012, 12
[7]  
Oplustil C P, 2001, Braz J Infect Dis, V5, P252, DOI 10.1590/S1413-86702001000500003
[8]   Effect on mortality of point-of-care, urine-based lipoarabinomannan testing to guide tuberculosis treatment initiation in HIV-positive hospital inpatients: a pragmatic, parallel-group, multicountry, open-label, randomised controlled trial [J].
Peter, Jonny G. ;
Zijenah, Lynn S. ;
Chanda, Duncan ;
Clowes, Petra ;
Lesosky, Maia ;
Gina, Phindile ;
Mehta, Nirja ;
Calligaro, Greg ;
Lombard, Carl J. ;
Kadzirange, Gerard ;
Bandason, Tsitsi ;
Chansa, Abidan ;
Liusha, Namakando ;
Mangu, Chacha ;
Mtafya, Bariki ;
Msila, Henry ;
Rachow, Andrea ;
Hoelscher, Michael ;
Mwaba, Peter ;
Theron, Grant ;
Dheda, Keertan .
LANCET, 2016, 387 (10024) :1187-1197
[9]   Prevalence and clinical manifestations of disseminated Mycobacterium avium complex infection in South Africans with acquired immunodeficiency syndrome [J].
Pettipher, CA ;
Karstaedt, AS ;
Hopley, M .
CLINICAL INFECTIOUS DISEASES, 2001, 33 (12) :2068-2071
[10]   Urine lipoarabinomannan point-of-care testing in patients affected by pulmonary nontuberculous mycobacteria - experiences from the Danish Cystic Fibrosis cohort study [J].
Qvist, Tavs ;
Johansen, Isik S. ;
Pressler, Tania ;
Hoiby, Niels ;
Andersen, Aase B. ;
Katzenstein, Terese L. ;
Bjerrum, Stephanie .
BMC INFECTIOUS DISEASES, 2014, 14