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Chinese Journal of Mycology 2016, Vol. 11  Issue (1): 16-19.

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The value of the galactomannan antigen assay in diagnosis Penicilliosis marneffei

YAN Ru-fan1, LI Xin-lei2, ZHENG Dong-yan1, LIN Bing1, LIANG Hao3, CAO Cun-wei1   

  1. 1. Department of Dermatology and Venereology, The First Affiliated hospital of Guangxi Medical University, Guangxi Key Laboratory of AIDS Prevention and Treatment, Nanning 530021, China;
    2. Yulin Hospital of Dermatology, Yulin 537000, China;
    3. Teaching and Research Department of Epidemiology and Health Statistics, Public Health of Guangxi Medical University & Guangxi Key Laboratory of AIDS Prevention and Treatment, Nanning 530021, China
  • Received:2016-01-06 Online:2016-02-28 Published:2016-02-28

Abstract:

Objective To evaluate the value of the galactomannan antigen assay in diagnosis Penicilliosis marneffei(PSM).Methods The serum samples were collected from 37 PSM patients,17 other fungal infection patients and 30 healthy volunteers.Platelia Aspergillus enzyme immunoassay kit was used.Results The sensitivities of total PSM patients,PSM patients with or without HIV infection were 78.38%,76.47%,75.00%,while their specificities were 82.98%,97.87%,84.78%,respectively.In 4 follow-up PSM patients,the GM decreased after anti-fungi treatment for 1 week as the clinical presentation improved.Conclusion This study showed that the GM test was significantly elevated for HIV patients with penicilliosis.The use of the GM antigen assay may facilitate earlier diagnosis of Penicillium marneffei infection for HIV-infected patients in areas of endemicity.

Key words: Penicilliosis marneffei, galactomannan, diagnosis

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