Cerebral aspergillosis diagnosed by detection of Aspergillus flavus-specific DNA, galactomannan and (1→3)-β-D-glucan in clinical specimens

被引:24
作者
Khan, Zia U. [1 ]
Ahmad, Suhail
Mokaddas, Eiman
Said, Tarek
Nair, M. P.
Halim, M. A.
Nampoory, M. R.
McGinnis, M. R.
机构
[1] Kuwait Univ, Fac Med, Dept Microbiol, Safat 13110, Kuwait
[2] Univ Texas, Med Branch, Dept Pathol, Galveston, TX 77555 USA
关键词
D O I
10.1099/jmm.0.46549-0
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
A case of cerebral aspergillosis was diagnosed by the detection of Aspergillus flavus-specific DNA in brain biopsy and serum specimens. The diagnosis was also Supported by detection of elevated levels of galactomannan and (1 -> 3)-beta-D-glucan in serum specimens. Despite the presence of dichotomously branched septate hyphae in brain biopsy, the culture remained negative. The inability to isolate the organism in culture suggested that combined therapy of AmBisome and caspofungin was fungicidal for the fungus in the brain abscess.
引用
收藏
页码:129 / 132
页数:4
相关论文
共 20 条
[1]   Characterization of Trichosporon species isolated from clinical specimens in Kuwait [J].
Ahmad, S ;
Al-Mahmeed, M ;
Khan, ZU .
JOURNAL OF MEDICAL MICROBIOLOGY, 2005, 54 (07) :639-646
[2]   Seminested PCR for diagnosis of candidemia: Comparison with culture, antigen detection, and biochemical methods for species identification [J].
Ahmad, S ;
Khan, Z ;
Mustafa, AS ;
Khan, ZU .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (07) :2483-2489
[3]   Refractory aspergillus pneumonia in patients with acute leukemia - Successful therapy with combination caspofungin and liposomal amphotericin [J].
Aliff, TB ;
Maslak, PG ;
Jurcic, JG ;
Heaney, ML ;
Cathcart, KN ;
Sepkowitz, KA ;
Weiss, MA .
CANCER, 2003, 97 (04) :1025-1032
[4]   In vitro synergy of caspofungin and amphotericin B against Aspergillus and Fusarium spp. [J].
Arikan, S ;
Lozano-Chiu, M ;
Paetznick, V ;
Rex, JH .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (01) :245-247
[5]   Defining opportunistic invasive fungal infections in immunocompromised patients with cancer and hematopoietic stem cell transplants: An international consensus [J].
Ascioglu, S ;
Rex, JH ;
de Pauw, B ;
Bennett, JE ;
Bille, J ;
Crokaert, F ;
Denning, DW ;
Donnelly, JP ;
Edwards, JE ;
Erjavec, Z ;
Fiere, D ;
Lortholary, O ;
Maertens, J ;
Meis, JF ;
Patterson, TF ;
Ritter, J ;
Selleslag, D ;
Shah, PM ;
Stevens, DA ;
Walsh, TJ .
CLINICAL INFECTIOUS DISEASES, 2002, 34 (01) :7-14
[6]   CT and MRI manifestations of central nervous system infection following allogeneic bone marrow transplantation [J].
Coley, SC ;
Jäger, HR ;
Szydlo, RM ;
Goldman, JM .
CLINICAL RADIOLOGY, 1999, 54 (06) :390-397
[7]   Laboratory diagnosis of invasive aspergillosis [J].
Hope, WW ;
Walsh, TJ ;
Denning, DW .
LANCET INFECTIOUS DISEASES, 2005, 5 (10) :609-622
[8]   Early diagnosis of central nervous system aspergillosis using polymerase chain reaction, latex agglutination test, and enzyme-linked immunosorbent assay [J].
Kami, M ;
Ogawa, S ;
Kanda, Y ;
Tanaka, Y ;
Machida, U ;
Matsumura, T ;
Sakamaki, H ;
Hirai, H .
BRITISH JOURNAL OF HAEMATOLOGY, 1999, 106 (02) :536-537
[9]   Efficacy and toxicity of caspofungin in combination with liposomal amphotericin B as primary or salvage treatment of invasive aspergillosis in patients with hematologic malignancies [J].
Kontoyiannis, DP ;
Hachem, R ;
Lewis, RE ;
Rivero, GA ;
Torres, HA ;
Thornby, J ;
Champlin, R ;
Kantarjian, H ;
Bodey, GP ;
Raad, II .
CANCER, 2003, 98 (02) :292-299
[10]  
Liu K, 1998, AM J CLIN PATHOL, V109, P45