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Infection

, Volume 25, Issue 2, pp 86–89 | Cite as

Serial monitoring ofAspergillus antigen in the early diagnosis of invasive aspergillosis. Preliminary investigations with two examples

  • P. E. Verweij
  • J. F. G. M. Meis
  • E. C. Dompeling
  • J. P. Donnelly
  • A. V. M. B. Schattenberg
Originalia

Summary

A recently developed sandwich ELISA, which detectsAspergillus galactomannan, was tested retrospectively in serial serum samples from an allogeneic bone marrow transplant recipient with proven invasive aspergillosis (patient 1) and another with suspected disease (patient 2). Galactomannan was detected in the serum 4 and 28 days, respectively, before pulmonary infiltrates suggestive of fungal infection first became apparent on the chest X-ray.Aspergillus was detected by ELISA and PCR in BAL fluid samples from both patients, and in CSF from patient 1. The diagnosis was confirmed at autopsy for patient 1 by histopathology and the recovery ofAspergillus fumigatus from the lung and brain. Furthermore, in both patients the course of the antigen titer in the serum during antifungal treatment corresponded with the clinical outcome. These results confirm that the sandwich ELISA appears to be useful for the early diagnosis of invasive aspergillosis. The value of the test for monitoring the response to antifungal treatment remains to be established in prospective trials.

Keywords

Aspergillus Bone Marrow Transplant Aspergillosis Invasive Aspergillosis Sandwich ELISA 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© MMV Medizin Verlag GmbH München 1997

Authors and Affiliations

  • P. E. Verweij
    • 1
  • J. F. G. M. Meis
    • 1
  • E. C. Dompeling
    • 2
  • J. P. Donnelly
    • 2
  • A. V. M. B. Schattenberg
    • 2
  1. 1.Dept. of Medical MicrobiologyUniversity Hospital NijmegenNijmegenThe Netherlands
  2. 2.Dept. of HematologyUniversity Hospital NijmegenNijmegenThe Netherlands

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