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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Boch, T; Reinwald, M; Postina, P; Cornely, OA; Vehreschild, JJ; Heußel, CP; Heinz, WJ; Hoenigl, M; Eigl, S; Lehrnbecher, T; Hahn, J; Claus, B; Lauten, M; Egerer, G; Müller, MC; Will, S; Merker, N; Hofmann, WK; Buchheidt, D; Spiess, B.
Identification of invasive fungal diseases in immunocompromised patients by combining an Aspergillus specific PCR with a multifungal DNA-microarray from primary clinical samples.
Mycoses. 2015; 58(12):735-745 Doi: 10.1111/myc.12424
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Co-Autor*innen der Med Uni Graz
Eigl Susanne
Hönigl Martin

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The increasing incidence of invasive fungal diseases (IFD), most of all invasive aspergillosis (IA) in immunocompromised patients emphasises the need to improve the diagnostic tools for detection of fungal pathogens. We investigated the diagnostic performance of a multifungal DNA-microarray detecting 15 different fungi [Aspergillus, Candida, Fusarium, Mucor, Rhizopus, Scedosporium and Trichosporon species (spp.)] in addition to an Aspergillus specific polymerase chain reaction (PCR) assay. Biopsies, bronchoalveolar lavage and peripheral blood samples of 133 immunocompromised patients (pts) were investigated by a multifungal DNA-microarray as well as a nested Aspergillus specific PCR assay. Patients had proven (n = 18), probable (n = 29), possible (n = 48) and no IFD (n = 38) and were mostly under antifungal therapy at the time of sampling. The results were compared to culture, histopathology, imaging and serology, respectively. For the non-Aspergillus IFD the microarray analysis yielded in all samples a sensitivity of 64% and a specificity of 80%. Best results for the detection of all IFD were achieved by combining DNA-microarray and Aspergillus specific PCR in biopsy samples (sensitivity 79%; specificity 71%). The molecular assays in combination identify genomic DNA of fungal pathogens and may improve identification of causative pathogens of IFD and help overcoming the diagnostic uncertainty of culture and/or histopathology findings, even during antifungal therapy. © 2015 Blackwell Verlag GmbH.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Antifungal Agents - therapeutic use
Aspergillosis - blood
Aspergillosis - diagnosis
Aspergillosis - diagnostic imaging
Aspergillus fumigatus - genetics
Aspergillus fumigatus - immunology
Aspergillus fumigatus - isolation & purification
Base Sequence -
Biopsy, Needle -
Bronchoalveolar Lavage -
DNA, Fungal - isolation & purification
Female -
Humans -
Immunocompromised Host -
Male -
Molecular Sequence Data -
Multiplex Polymerase Chain Reaction - methods
Oligonucleotide Array Sequence Analysis - methods
Radiography -
Sensitivity and Specificity -

Find related publications in this database (Keywords)
invasive fungal disease
multiplex fungal PCR
clinical samples
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