Adenosine deaminase negative pleural tuberculosis: a case report

被引：4
作者：
Boggs, Zachary H. [1 ]
Heysell, Scott [1 ]
Eby, Joshua [1 ]
Arnold, Christopher [1 ]
机构：
[1] Univ Virginia, Charlottesville, VA 22903 USA
来源：
BMC INFECTIOUS DISEASES | 2021年 / 21卷 / 01期
关键词：
Tuberculosis; Adenosine deaminase; Pleural effusion; IGRA; Case report; GAMMA RELEASE ASSAYS; DIAGNOSTIC-ACCURACY; INTERFERON-GAMMA; XPERT MTB/RIF; EFFUSION; FLUID; LEVEL;
D O I：
10.1186/s12879-021-06276-4
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
BackgroundA pleural fluid adenosine deaminase (ADA) has been used globally to assist in the diagnosis of a tuberculous pleural effusion (TPE) with a notable negative predictive value.Case presentationWe report a case of a patient with a negative pleural fluid ADA who was found to have culture-positive and biopsy-proven Mycobacterium tuberculosis.ConclusionsThis case shows the importance of pursuing gold standard diagnostic studies when clinical suspicion remains high despite negative preliminary testing. We further describe gaps in research to improve pleural fluid biomarkers for TPE.
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页数：4
相关论文
共 20 条
[1]   Interferon Gamma Release Assays for Diagnosis of Pleural Tuberculosis: a Systematic Review and Meta-Analysis [J].
Aggarwal, Ashutosh N. ;
Agarwal, Ritesh ;
Gupta, Dheeraj ;
Dhooria, Sahajal ;
Behera, Digambar .
JOURNAL OF CLINICAL MICROBIOLOGY, 2015, 53 (08) :2451-2459
[2]   Adenosine deaminase for diagnosis of tuberculous pleural effusion: A systematic review and meta-analysis [J].
Aggarwal, Ashutosh Nath ;
Agarwal, Ritesh ;
Sehgal, Inderpaul Singh ;
Dhooria, Sahajal .
PLOS ONE, 2019, 14 (03)
[3]  
Gui XW, 2014, INT J CLIN EXP MED, V7, P3126
[4]   Diagnostic accuracy of Xpert MTB/RIF Ultra for tuberculous meningitis in a clinical practice setting of China [J].
Huang, Mailing ;
Wang, Guirong ;
Sun, Qing ;
Jiang, Guanglu ;
Li, Wensheng ;
Ding, Zeyu ;
Jia, Hongyan ;
Gao, Mengqiu ;
Huang, Hairong ;
Li, Qi .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2021, 100 (01)
[5]   Diagnostic value of interferon-γ in tuberculous pleurisy -: A metaanalysis [J].
Jiang, Jing ;
Shi, Huan-Zhong ;
Liang, Qiu-Li ;
Qin, Shou-Ming ;
Qin, Xue-Jun .
CHEST, 2007, 131 (04) :1133-1141
[6]   Factors Influencing Pleural Adenosine Deaminase Level in Patients With Tuberculous Pleurisy [J].
Lee, Seung Jun ;
Kim, Hyun Sik ;
Lee, Seung Hun ;
Lee, Tae Won ;
Lee, Hyang Rae ;
Cho, Yu Ji ;
Jeong, Yi Yeong ;
Kim, Ho Cheol ;
Lee, Jong Deog ;
Hwang, Young Sil .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2014, 348 (05) :362-365
[7]   Diagnostic accuracy of adenosine deaminase in tuberculous pleurisy: A meta-analysis [J].
Liang, Qiu-Li ;
Shi, Huan-Zhong ;
Wang, Ke ;
Qjn, Shou-Ming ;
Qin, Xue-Jun .
RESPIRATORY MEDICINE, 2008, 102 (05) :744-754
[8]   Diagnostic Accuracy of Interleukin-27 between Tuberculous Pleural Effusion and Malignant Pleural Effusion: A Meta-Analysis [J].
Liu, Qing ;
Yu, Yan-Xia ;
Wang, Xiao-Juan ;
Wang, Zheng ;
Wang, Zhen .
RESPIRATION, 2018, 95 (06) :469-477
[9]   Adenosine deaminase is a useful biomarker to diagnose pleural tuberculosis in low to medium prevalence settings [J].
Michot, Jean-Marie ;
Madec, Yoann ;
Bulifon, Sophie ;
Thorette-Tcherniak, Cecile ;
Fortineau, Nicolas ;
Noel, Nicolas ;
Lambotte, Olivier ;
El Jahiri, Younes ;
Delacour, Herve ;
Delfraissy, Jean-Francois ;
Blanc, Francois-Xavier .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2016, 84 (03) :215-220
[10]  
Ogata Y, 2011, ACTA MED OKAYAMA, V65, P259
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