The Evidence for Greater Sensitivity of Interferon-γ Release Assays Compared to Tuberculin Skin Test in Diagnosing Latent Mycobacterium tuberculosis Infection

2014 ◽  
Vol 53 (14) ◽  
pp. 1413-1413 ◽  
Author(s):  
Michael Eisenhut
2009 ◽  
Vol 13 (5) ◽  
pp. 280-282 ◽  
Author(s):  
Alfred Goodfellow ◽  
Douglas N. Keeling ◽  
Robert C. Hayes ◽  
Duncan Webster

Background: With increasing use of immunosuppressive therapy, including tumor necrosis factor a inhibitors, there is concern about infectious complications, including reactivation of latent Mycobacterium tuberculosis infection. Routine testing prior to administration of systemic immunosuppression includes the tuberculin skin test, which lacks sensitivity and specificity and may be difficult to interpret in the presence of extensive cutaneous disease. Treatment of individuals with latent tuberculosis infection is recommended when immunosuppressive medications are to be employed. Observations: We report a case in which a diagnosis of latent tuberculosis infection in a patient with extensive bullous pemphigoid was clarified by the use of an interferon-γ release assay after equivocal tuberculin skin test results. Conclusion: Interferon-γ release assays are useful adjuncts to the tuberculin skin test in the diagnosis of latent tuberculosis infection in the setting of extensive cutaneous disease.


2004 ◽  
Vol 100 (1-2) ◽  
pp. 61-71 ◽  
Author(s):  
Richard A.W Vervenne ◽  
Stephen L Jones ◽  
Dick van Soolingen ◽  
Tridia van der Laan ◽  
Peter Andersen ◽  
...  

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