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J Clin Microbiol. 1994 August; 32(8): 1855-1859

Gas chromatographic determination of D-arabinitol/L-arabinitol ratios in urine: a potential method for diagnosis of disseminated candidiasis.

Department of Medical Microbiology, University Hospital of Lund, Sweden.

ABSTRACT

A gas chromatographic procedure was developed to determine the relative amounts of D- and L-arabinitol in urine. Samples were filtered, diluted, purified through extractions, evaporated, and treated with trifluoroacetic anhydride; the arabinitol derivatives thus obtained were separated on a chiral stationary phase and registered by using an electron-capture detector. Urine samples from a patient with disseminated candidiasis had higher D-arabinitol/L-arabinitol ratios (referred to as D/L-arabinitol ratios)--up to 19.0--than samples from 96 study individuals with no signs of deep Candida infections (range, 1.1 to 4.5). D/L-Arabinitol ratios in urine samples from hospitalized patients without Candida infections were slightly higher than those in samples from healthy individuals; ratios in urine from children were slightly higher than those in adult urine samples. The D/L-arabinitol ratios in several urine samples culture positive for Candida albicans, but from patients without symptoms of disseminated candidiasis, did not differ from those in the urine of healthy individuals. The described gas chromatographic method is straightforward and can be implemented clinically to determine urine D/L-arabinitol ratios as a means of diagnosing disseminated candidiasis.

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• Yeo, S. F., Huie, S., Sofair, A. N., Campbell, S., Durante, A., Wong, B. (2006). Measurement of Serum D-Arabinitol/Creatinine Ratios for Initial Diagnosis and for Predicting Outcome in an Unselected, Population-Based Sample of Patients with Candida Fungemia. J. Clin. Microbiol. 44: 3894-3899 [Abstract] [Full Text]  
• Sigmundsdóttir, G., Christensson, B., Björklund, L. J., Håkansson, K., Pehrson, C., Larsson, L. (2000). Urine D-Arabinitol/L-Arabinitol Ratio in Diagnosis of Invasive Candidiasis in Newborn Infants. J. Clin. Microbiol. 38: 3039-3042 [Abstract] [Full Text]