Aspergillus galactomannan antigen for diagnosis and treatment monitoring in cerebral aspergillosis
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Aspergillus galactomannan antigen for diagnosis and treatment monitoring in cerebral aspergillosis. / Soeffker, Gerold; Wichmann, Dominic; Loderstädt, Ulrike; Sobottka, Ingo; Deuse, Tobias; Kluge, Stefan.
In: PROG TRANSPLANT, Vol. 23, No. 1, 01.03.2013, p. 71-4.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Aspergillus galactomannan antigen for diagnosis and treatment monitoring in cerebral aspergillosis
AU - Soeffker, Gerold
AU - Wichmann, Dominic
AU - Loderstädt, Ulrike
AU - Sobottka, Ingo
AU - Deuse, Tobias
AU - Kluge, Stefan
PY - 2013/3/1
Y1 - 2013/3/1
N2 - Invasive aspergillosis, especially neuroaspergillosis, predominantly affects immunocompromised patients such as transplant recipients. Early diagnosis and subsequent early initiation of therapy may improve final outcome. In cerebral aspergillosis, samples for culture or histopathology, the diagnostic reference standard, are often impossible to obtain without risk. Because of these limitations, serological, nucleic acid amplification tests such as polymerase chain reaction or enzyme immunoassay from cerebrospinal fluid appear advantageous for early diagnosis and probably also for therapy monitoring. We report on the successful detection and treatment monitoring by serial testing of galactomannan in cerebrospinal fluid in a patient with neuroaspergillosis after heart transplant.
AB - Invasive aspergillosis, especially neuroaspergillosis, predominantly affects immunocompromised patients such as transplant recipients. Early diagnosis and subsequent early initiation of therapy may improve final outcome. In cerebral aspergillosis, samples for culture or histopathology, the diagnostic reference standard, are often impossible to obtain without risk. Because of these limitations, serological, nucleic acid amplification tests such as polymerase chain reaction or enzyme immunoassay from cerebrospinal fluid appear advantageous for early diagnosis and probably also for therapy monitoring. We report on the successful detection and treatment monitoring by serial testing of galactomannan in cerebrospinal fluid in a patient with neuroaspergillosis after heart transplant.
KW - Antifungal Agents
KW - Antigens, Fungal
KW - Drug Monitoring
KW - Early Diagnosis
KW - Heart Transplantation
KW - Humans
KW - Immunoenzyme Techniques
KW - Male
KW - Membrane Glycoproteins
KW - Meningitis, Fungal
KW - Middle Aged
KW - Neuroaspergillosis
KW - Pyrimidines
KW - Triazoles
U2 - 10.7182/pit2013386
DO - 10.7182/pit2013386
M3 - SCORING: Journal article
C2 - 23448824
VL - 23
SP - 71
EP - 74
JO - PROG TRANSPLANT
JF - PROG TRANSPLANT
SN - 1526-9248
IS - 1
ER -