Skip to main content

Advertisement

Log in

Detection of imported histoplasmosis in serum of HIV-infected patients using a real-time PCR-based assay

  • Concise Article
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

A new real-time PCR-based assay was used for detecting DNA of Histoplasma capsulatum in serum samples collected from four HIV-infected patients with proven histoplasmosis. The assay targeted the ITS1 region of rDNA and its in vitro sensitivity, specificity and reproducibility were evaluated. The technique detected DNA of H. capsulatum in all of the HIV-infected patients with proven histoplasmosis (4/4, 100%). The PCR result was positive for seven of the ten (70%) samples studied. The assay’s specificity was determined to be 100%, since the method was negative for 25 other serum samples (10 from patients with proven aspergillosis and 15 from healthy controls). The PCR assay is a new and promising diagnostic alternative and further investigation is warranted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Freedman DO, Weld LH, Kozarsky PE, Fisk T, Robins R, von Sonnenburg F, Keystone JS, Pandey P, Cetron MS (2006) Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med 354:119–130

    Article  CAS  PubMed  Google Scholar 

  2. Gascón J, Torres JM, Luburich P, Ayuso JR, Xaubet A, Corachán M (2000) Imported histoplasmosis in Spain. J Travel Med 7:89–91

    Article  PubMed  Google Scholar 

  3. Wheat LJ (2003) Current diagnosis of histoplasmosis. Trends Microbiol 11:488–494

    Article  CAS  Google Scholar 

  4. Wheat LJ, Kohler RB, Tewari RP (1986) Diagnosis of disseminated histoplasmosis by detection of Histoplasma capsulatum antigen in serum and urine specimens. N Engl J Med 314:83–88

    Article  CAS  PubMed  Google Scholar 

  5. Wheat LJ, Garringer T, Brizendine E, Connolly P (2002) Diagnosis of histoplasmosis by antigen detection based upon experience at the histoplasmosis reference laboratory. Diagn Microbiol Infect Dis 43:29–37

    Article  CAS  PubMed  Google Scholar 

  6. Bialek R, Fischer J, Feucht A, Najvar LK, Dietz K, Knobloch J, Graybill JR (2001) Diagnosis and monitoring of murine histoplasmosis by a nested PCR assay. J Clin Microbiol 39:1506–1509

    Article  CAS  PubMed  Google Scholar 

  7. Guedes HLD, Guimares AJ, Muniz MD, Pizzini CV, Hamilton AJ, Peralta JM, Deepe GS, Zancope-Oliveira RM (2003) PCR assay for identification of Histoplasma capsulatum based on the nucleotide sequence of the M antigen. J Clin Microbiol 41:535–539

    Article  CAS  PubMed  Google Scholar 

  8. Bialek R, Feucht A, Aepinus C, Just-Nubling G, Robertson VJ, Knobloch J, Hohle R (2002) Evaluation of two nested PCR assays for detection of Histoplasma capsulatum DNA in human tissue. J Clin Microbiol 40:1644–1647

    Article  CAS  PubMed  Google Scholar 

  9. Rickerts V, Bialek R, Tintelnot K, Jacobi V, Just-Nubling G (2002) Rapid PCR-based diagnosis of disseminated histoplasmosis in an AIDS patient. Eur J Clin Microbiol Infect Dis 21:821–823

    Article  CAS  PubMed  Google Scholar 

  10. Martagon-Villamil J, Shrestha N, Sholtis M, Isada CM, Hall GS, Bryne T, Lodge BA, Reller LB, Procop GW (2003) Identification of Histoplasma capsulatum from culture extracts by real-time PCR. J Clin Microbiol 41:1295–1298

    Article  CAS  PubMed  Google Scholar 

  11. Guarro J, Gene J, Stchigel AM (1999) Developments in fungal taxonomy. Clin Microbiol Rev 12:454–500

    CAS  PubMed  Google Scholar 

  12. Tang CM, Cohen J, Holden DW (1992) An Aspergillus fumigatus alkaline protease mutant constructed by gene disruption is deficient in extracellular elastase activity. Mol Microbiol 6:1663–1671

    Article  CAS  PubMed  Google Scholar 

  13. Sambrook KJ, Fritsch EF, Maniatis T (1989) Molecular cloning. A laboratory manual. Cold Spring Harbour Laboratory, New York

    Google Scholar 

  14. Wheat J (1995) Endemic mycoses in AIDS. A clinical review. Clin Microbiol Rev 8:146–159

    CAS  PubMed  Google Scholar 

  15. Bracca A, Tosello ME, Girardini JE, Amigot SL, Gomez C, Serra E (2003) Molecular detection of Histoplasma capsulatum var. capsulatum in human clinical samples. J Clin Microbiol 41:1753–1755

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported in part by research projects 1021/04, from the Instituto de Salud Carlos III, and 1397/04, from Fundación Ramón Areces, Madrid, Spain.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Cuenca-Estrella.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Buitrago, M.J., Berenguer, J., Mellado, E. et al. Detection of imported histoplasmosis in serum of HIV-infected patients using a real-time PCR-based assay. Eur J Clin Microbiol Infect Dis 25, 665–668 (2006). https://doi.org/10.1007/s10096-006-0207-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-006-0207-y

Keywords

Navigation