THE VALUE OF SERUM CRYPTOCOCCAL ANTIGEN IN THE DIAGNOSIS OF CRYPTOCOCCAL INFECTION IN PATIENTS INFECTED WITH THE HUMAN-IMMUNODEFICIENCY-VIRUS

被引:35
作者
NELSON, MR
BOWER, M
SMITH, D
REED, C
SHANSON, D
GAZZARD, B
机构
[1] WESTMINSTER MED SCH & HOSP,DEPT MED,DEAN RYLE ST,HORSEFERRY RD,LONDON SW1P 2AP,ENGLAND
[2] WESTMINSTER MED SCH & HOSP,DEPT MICROBIOL,LONDON SW1P 2AP,ENGLAND
关键词
D O I
10.1016/0163-4453(90)91727-U
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Serum cryptococcal antigen titres were measured in 828 HIV-infected patients with pyrexia, 69 of whom had meningism. Serum cryptococcal antigen was positive in 17 patients of whom 16 had meningism with cryptococcus isolated from their CSF. The other patient had no meningism, had no evidence of cryptococcal infection on repeated CSF examination and remains well. A positive serum cryptococcal antigen test was therefore valuable in the diagnosis of cryptococcal meningitis, although in all 16 patients meningism was present and a diagnostic lumbar puncture was therefore carried out. In our experience routine screening for serum cryptococcal antigen did not predict patients who subsequently developed cryptococcal meningitis. © 1990 The British Society for the Study of Infection.
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页码:175 / 181
页数:7
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