Fungus culture and PCR in nasal lavage samples of patients with chronic rhinosinusitis

作者: Doreen Polzehl , Michael Weschta , Andreas Podbielski , Herbert Riechelmann , Dagmar Rimek

DOI: 10.1099/JMM.0.45881-0

关键词:

摘要: Chronic rhinosinusitis (CRS) affects approximately 15 % of the adult population in industrialized countries. Fungi have been recognized as important pathogens CRS immunocompromised host. Recently, fungi detected more than 90 nasal lavages (NLs) immunocompetent patients with CRS. Employing NLs present study, detection rates for by culture techniques were compared results different fungus-specific PCR assays. Standard fungal cultures performed on from 77 also tested presence DNA a panfungal assay and without specific probes Candida spp. Aspergillus spp./Penicillium spp., an Aspergillus-specific nested assay. Nineteen samples (25 %) grew fungi. Fungus-specific was 34 (44 %). Twelve positive both PCR, whereas seven specimens culture, but negative additional culture. The combination all employed assays 39 (50 This study demonstrated that conventional could be complementary diagnostic to detect patients.

参考文章(31)
Jonathan F. Lara, J. Daniel Gomez, Allergic mucin with and without fungus: a comparative clinicopathologic analysis. Archives of Pathology & Laboratory Medicine. ,vol. 125, pp. 1442- 1447 ,(2001) , 10.1043/0003-9985(2001)125<1442:AMWAWF>2.0.CO;2
Philippe Rombaux, Stéphanie Collet, Bernard Bertrand, Philippe Eloy, Secondary ciliary dyskinesia in upper respiratory tract. Acta oto-rhino-laryngologica Belgica. ,vol. 54, pp. 309- 316 ,(2000)
Michael D. Catten, Andrew H. Murr, Jayne A. Goldstein, Anand N. Mhatre, Anil K. Lalwani, Detection of Fungi in the Nasal Mucosa Using Polymerase Chain Reaction Laryngoscope. ,vol. 111, pp. 399- 403 ,(2001) , 10.1097/00005537-200103000-00006
Ruby Pawankar, Nasal polyposis: an update: editorial review. Current Opinion in Allergy and Clinical Immunology. ,vol. 3, pp. 1- 6 ,(2003) , 10.1097/00130832-200302000-00001
Jonathan F. Lara, J. Daniel Gomez, Allergic Mucin With and Without Fungus Archives of Pathology & Laboratory Medicine. ,vol. 125, pp. 1442- 1447 ,(2001) , 10.5858/2001-125-1442-AMWAWF
V LUND, D KENNEDY, Staging for rhinosinusitis Otolaryngology-Head and Neck Surgery. ,vol. 117, ,(1997) , 10.1016/S0194-5998(97)70005-6
M. L. Uffredi, G. Mangiapan, J. Cadranel, G. Kac, Significance of Aspergillus fumigatus isolation from respiratory specimens of nongranulocytopenic patients European Journal of Clinical Microbiology & Infectious Diseases. ,vol. 22, pp. 457- 462 ,(2003) , 10.1007/S10096-003-0970-Y
David E. Hapeman, Categorical Data Analysis Technometrics. ,vol. 33, pp. 241- 241 ,(1991) , 10.1080/00401706.1991.10484817
Richard A. Lebowitz, Michael N. Waltzman, Joseph B. Jacobs, Aaron Pearlman, Philip M. Tierno, Isolation of fungi by standard laboratory methods in patients with chronic rhinosinusitis. Laryngoscope. ,vol. 112, pp. 2189- 2191 ,(2002) , 10.1097/00005537-200212000-00012