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Journal of Clinical Microbiology
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Mycology

Detection of the Candida Antigen Mannan in Cerebrospinal Fluid Specimens from Patients Suspected of Having Candida Meningitis

Frans M. Verduyn Lunel, Andreas Voss, Ed J. Kuijper, L. B. S. Gelinck, Peter M. Hoogerbrugge, K. L. Liem, Bart Jan Kullberg, Paul E. Verweij
Frans M. Verduyn Lunel
1Department of Medical Microbiology and Infectious Diseases, Canisius-Wilhelmina Hospital
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Andreas Voss
2Departments of Medical Microbiology
3Nijmegen University Center for Infectious Diseases, University Medical Center Nijmegen, Nijmegen
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Ed J. Kuijper
4Departments of Medical Microbiology
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L. B. S. Gelinck
5Infectious Diseases, Center of Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands
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Peter M. Hoogerbrugge
6Pediatric Oncology
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K. L. Liem
7Neonatal Intensive Care
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Bart Jan Kullberg
3Nijmegen University Center for Infectious Diseases, University Medical Center Nijmegen, Nijmegen
8General Internal Medicine
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Paul E. Verweij
2Departments of Medical Microbiology
3Nijmegen University Center for Infectious Diseases, University Medical Center Nijmegen, Nijmegen
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  • For correspondence: p.verweij@mmb.umcn.nl
DOI: 10.1128/JCM.42.2.867-870.2004
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  • TABLE 1.

    Results of detection of Candida mannan in CSF compared with culture

    Case no. or groupClassificationaCulture resultb (no. positive/total)Mean OD (range)Interpretationc (no. positive/total)
    1Proven infection4/42.999d3/3
    2Proven infection2/50.571 (0.489-0.779)7/7
    3Proven infection3/91.721 (1.057-2.935)4/4
    4Proven infection1/23.500d2/2
    5No infection1/60.297 (0.259-0.331)0/3
    AeControl0/280.264 (0.211-0.365)0/28
    BControl10/100.163 (0.112-0.228)0/10
    CControl0/160.211 (0.160-0.270)0/16
    • ↵ a Based on criteria adapted from reference 3.

    • ↵ b Culture for yeasts.

    • ↵ c Cutoff value = 0.440.

    • ↵ d ODs out of range.

    • ↵ e Control group: A, patients with clinically suspected bacterial meningitis and negative fungal cultures; B, patients with cultures positive for C. neoformans and CSF positive for cryptococcal antigen; C, patients CSF positive for Aspergillus antigen.

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Detection of the Candida Antigen Mannan in Cerebrospinal Fluid Specimens from Patients Suspected of Having Candida Meningitis
Frans M. Verduyn Lunel, Andreas Voss, Ed J. Kuijper, L. B. S. Gelinck, Peter M. Hoogerbrugge, K. L. Liem, Bart Jan Kullberg, Paul E. Verweij
Journal of Clinical Microbiology Feb 2004, 42 (2) 867-870; DOI: 10.1128/JCM.42.2.867-870.2004

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Detection of the Candida Antigen Mannan in Cerebrospinal Fluid Specimens from Patients Suspected of Having Candida Meningitis
Frans M. Verduyn Lunel, Andreas Voss, Ed J. Kuijper, L. B. S. Gelinck, Peter M. Hoogerbrugge, K. L. Liem, Bart Jan Kullberg, Paul E. Verweij
Journal of Clinical Microbiology Feb 2004, 42 (2) 867-870; DOI: 10.1128/JCM.42.2.867-870.2004
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  • Top
  • Article
    • ABSTRACT
    • Case 1.
    • Case 2.
    • Case 3.
    • Case 4.
    • Case 5.
    • Mannan detection.
    • Aspergillus antigen detection.
    • ACKNOWLEDGMENTS
    • FOOTNOTES
    • REFERENCES
  • Figures & Data
  • Info & Metrics
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KEYWORDS

Antigens, Fungal
Candida
candidiasis
Mannans
Meningitis, Fungal

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