Role ofCoccidioidesAntigen Testing in the Cerebrospinal Fluid for the Diagnosis of Coccidioidal Meningitis
Author(s) -
Christelle Kassis,
Syed Sohail Zahoor Zaidi,
T. Kuberski,
Ana Moran,
Omar Gonzalez,
Sana Hussain,
Carlos Hartmann-Manrique,
Layth Al-Jashaami,
Ahmad Chebbo,
Robert A. Myers,
L. Joseph Wheat
Publication year - 2015
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/civ585
Subject(s) - coccidioides , medicine , cerebrospinal fluid , meningitis , complement fixation test , antibody , coccidioides immitis , antigen , immunoassay , immunology , pathology , immunodiffusion , serology , dermatology , surgery
Coccidioidal meningitis (CM), a common cause of chronic meningitis in endemic area, is usually diagnosed by detection of anti-Coccidioides antibodies in cerebrospinal fluid (CSF), and findings may be negative in up to one-third of cases. CSF cultures and cytology are infrequently positive. Antigen detection has been used for the diagnosis of other forms of coccidioidomycosis and meningitis caused by other mycoses. The purpose of this study was to assess the diagnostic utility of CSF Coccidioides antigen (CAg) detection for the diagnosis of CM.
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