Cryptococcal Meningitis Diagnostics and Screening in the Era of Point-of-Care Laboratory Testing
Author(s) -
Radha Rajasingham,
Rachel Wake,
Tafese Beyene,
Andrew Katende,
Emílio Letang,
David R. Boulware
Publication year - 2018
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.01238-18
Subject(s) - meningitis , fulminant , medicine , viral meningitis , cryptococcal meningitis , immunology , human immunodeficiency virus (hiv) , intensive care medicine , cerebrospinal fluid , virology , pediatrics , viral disease , bacterial meningitis
Over the past ten years, standard diagnostics for cryptococcal meningitis in HIV-infected persons have evolved from culture to India ink to detection of cryptococcal antigen (CrAg), with the recent development and distribution of a point-of-care lateral flow assay. This assay is highly sensitive and specific in cerebrospinal fluid (CSF), but is also sensitive in the blood to detect CrAg prior to meningitis symptoms.
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