Pulmonary Cryptococcosis: comparison of Cryptococcal antigen detection and radiography in Immunocompetent and Immunocompromised patients.

Background: We compared the cryptococcal antigen detection and imaging findings between immunocompetent and immunocompromised patients in whom pulmonary cryptococcosis had been diagnosed. The aim of our study was to determine whether the patient's immune status and radiography affect the detection o...

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Publicado en:BMC Infectious Diseases Vol. 20; no. 1; pp. 1 - 7
Autores principales: Min, Jingqi, Huang, Kunlun, Shi, Chanmei, Li, Laifu, Li, Fuye, Zhu, Tao, Deng, Huojin
Formato: pictorial research tables/charts Journal Article
Publicado: BioMed Central 1/30/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/30/2020
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        atl: Pulmonary Cryptococcosis: comparison of Cryptococcal antigen detection and radiography in Immunocompetent and Immunocompromised patients.
      aug:
        au:
          Min, Jingqi
          Huang, Kunlun
          Shi, Chanmei
          Li, Laifu
          Li, Fuye
          Zhu, Tao
          Deng, Huojin
        affil: Department of Pulmonary and Critical Care Medicine, Zhujiang Hospital, Southern Medical University, 510280, Guangzhou, China
      sug:
        subj:
          Immunocompromised Host
          Cryptococcosis Immunology
          Antigens, Fungal Blood
          Cryptococcosis
          Lung Diseases, Fungal
          Cryptococcus Immunology
          Lung Diseases, Fungal Immunology
          Immunosuppressive Agents Therapeutic Use
          Retrospective Design
          Cryptococcosis Drug Therapy
          Aged
          Prospective Studies
          Immunologic Tests
          Diagnostic Tests, Routine Methods
          Young Adult
          Middle Age
          Tomography, X-Ray Computed
          Aged, 80 and Over
          Male
          Adolescence
          Lung Diseases, Fungal Drug Therapy
          Adult
          Female
          Scales
          Funding Source
          Human
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: We compared the cryptococcal antigen detection and imaging findings between immunocompetent and immunocompromised patients in whom pulmonary cryptococcosis had been diagnosed. The aim of our study was to determine whether the patient's immune status and radiography affect the detection of cryptococcal antigen.Methods: According to whether they took immunosuppressive drugs or not, seventy and eight adult patients with pulmonary cryptococcosis were divided into two groups: the immunocompetent group and the immunocompromised group. According to the detection of CrAg, each group was divided into the CrAg+ group and the CrAg- group. Then, clinical records, laboratory examinations and computed tomography findings were collected and analyzed.Results: No difference was found in baseline characteristics, clinical symptoms, and laboratory investigations. By comparing CrAg detection in these two groups, it was found that the number of CrAg+ cases in the immunocompetent group was more than that in the immunocompromised group. And in the immunocompetent group, diffuse lesions were more common in CrAg+ group and limited lesions were more frequently observed in CrAg- group.Conclusions: The patient's immune status and radiography would affect the detection of cryptococcal antigen. And serum CrAg could be a useful tool for the diagnosis of pulmonary cryptococcosis in immunocompetent patients with extensive lung involvement.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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