scholarly journals COMPARISON OF GROCOTT-GOMORI METHENAMINE SILVER AND IMMUNOFLUORESCENCE STAINING FOR DIAGNOSING PNEUMOCYSTIS PNEUMONIA: ANALYSIS INVOLVING QUANTITATIVE PCR FOR DETECTION OF PNEUMOCYSTIS JIROVECII IN BRONCHOALVEOLAR LAVAGE FLUID

Respirology ◽  
2018 ◽  
Vol 23 ◽  
pp. 311-311
2020 ◽  
Vol 6 (4) ◽  
pp. 200
Author(s):  
Shiwei Zhou ◽  
Kathleen A. Linder ◽  
Carol A. Kauffman ◽  
Blair J. Richards ◽  
Steve Kleiboeker ◽  
...  

We evaluated the performance of the (1,3)-β-d-glucan (BDG) assay on bronchoalveolar lavage fluid (BALF) as a possible aid to the diagnosis of Pneumocystis jirovecii pneumonia. BALF samples from 18 patients with well-characterized proven, probable, and possible Pneumocystis pneumonia and 18 well-matched controls were tested. We found that the best test performance was observed with a cut-off value of 128 pg/mL; receiver operating characteristic/area under the curve (ROC/AUC) was 0.70 (95% CI 0.52–0.87). Sensitivity and specificity were 78% and 56%, respectively; positive predictive value was 64%, and negative predictive value was 71%. The low specificity that we noted limits the utility of BALF BDG as a diagnostic tool for Pneumocystis pneumonia.


Author(s):  
Sadatomo Tasaka ◽  
Seiki Kobayashi ◽  
Hirofumi Kamata ◽  
Yoshifumi Kimizuka ◽  
Hiroshi Fujiwara ◽  
...  

mBio ◽  
2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Ousmane H. Cissé ◽  
Marco Pagni ◽  
Philippe M. Hauser

ABSTRACTPneumocystis jiroveciiis a fungus that causes severe pneumonia in immunocompromised patients. However, its study is hindered by the lack of anin vitroculture method. We report here the genome ofP. jiroveciithat was obtained from a single bronchoalveolar lavage fluid specimen from a patient. The major challenge was thein silicosorting of the reads from a mixture representing the different organisms of the lung microbiome. This genome lacks virulence factors and most amino acid biosynthesis enzymes and presents reduced GC content and size. Together with epidemiological observations, these features suggest thatP. jiroveciiis an obligate parasite specialized in the colonization of human lungs, which causes disease only in immune-deficient individuals. This genome sequence will boost research on this deadly pathogen.IMPORTANCEPneumocystispneumonia is a major cause of mortality in patients with impaired immune systems. The availability of theP. jiroveciigenome sequence allows new analyses to be performed which open avenues to solve critical issues for this deadly human disease. The most important ones are (i) identification of nutritional supplements for development of culturein vitro, which is still lacking 100 years after discovery of the pathogen; (ii) identification of new targets for development of new drugs, given the paucity of present treatments and emerging resistance; and (iii) identification of targets for development of vaccines.


2010 ◽  
Vol 54 (3) ◽  
pp. 296-302 ◽  
Author(s):  
Rashmi Gupta ◽  
Venkateswaran K. Iyer ◽  
Bijay Ranjan Mirdha ◽  
Randeep Guleria ◽  
Lalit Kumar ◽  
...  

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