Progressive disseminated histoplasmosis : a systematic review on the performance of non-culture-based diagnostic tests
| Autor: | Falci, Diego Rodrigues, Hoffmann, Elias da Rosa, Paskulin, Diego D'Ávila, Pasqualotto, Alessandro Comaru |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Repositório Institucional da UFRGS Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
| Popis: | The diagnosis of progressive disseminated histoplasmosis is often a challenge to clinicians,especially due to the low sensitivity and long turnaround time of the classic diagnostic meth-ods. In recent years, studies involving a variety of non-culture-based diagnostic tests havebeen published in the literature. We performed a systematic review by selecting studies eval-uating non-culture-based diagnostic methods for progressive disseminated histoplasmosis.We searched for articles evaluating detection of antibody, antigens, as well as DNA-baseddiagnostic methods. A comprehensive PUBMED, Web of Science, and Cochrane Librarysearch was performed between the years 1956 and 2016. Case reports, review articles, non-human models and series involving less than 10 patients were excluded. We found 278articles and after initial review 18 articles were included: (12) involved antigen detectionmethods, (4) molecular methods, and (2) antibody detection methods. Here we demonstratethat the pursuit of new technologies is ultimately required for the early and accurate diag-nosis of disseminated histoplasmosis. In particular, urinary antigen detection was the mostaccurate tool when compared with other diagnostic techniques. |
| Databáze: | OpenAIRE |
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