Diagnosis of Paracoccidioidomycosis by Detection of Antigen and Antibody in Bronchoalveolar Lavage Fluids

ABSTRACT Paracoccidioidomycosis (PCM) is a systemic infection caused by the fungus Paracoccidioides brasiliensis and is believed to be the leading cause of fungal pulmonary infection. In this study, we used an inhibition enzyme-linked immunosorbent assay to diagnose pulmonary PCM based on the detection of 43-kDa and 70-kDa molecules in bronchoalveolar lavage fluids. The results were compared with results obtained by classical methods for antibody detection.

[1]  F. Queiroz-Telles,et al.  Diagnosis of Neuroparacoccidioidomycosis by Detection of Circulating Antigen and Antibody in Cerebrospinal Fluid , 2005, Journal of Clinical Microbiology.

[2]  F. Queiroz-Telles,et al.  Detection of Paracoccidioides brasiliensis gp70 Circulating Antigen and Follow-Up of Patients Undergoing Antimycotic Therapy , 2004, Journal of Clinical Microbiology.

[3]  F. Queiroz-Telles,et al.  Monitoring gp43 Antigenemia in Paracoccidioidomycosis Patients during Therapy , 2004, Journal of Clinical Microbiology.

[4]  Z. P. Camargo,et al.  Simplified method for producing Paracoccidioides brasiliensis exoantigens for use in immunodiffusion tests. , 2003, Medical mycology.

[5]  S. R. de Almeida,et al.  Characterization of gp70 and Anti-gp70 Monoclonal Antibodies in Paracoccidioides brasiliensis Pathogenesis , 2003, Infection and Immunity.

[6]  Á. Restrepo,et al.  Residual pulmonary abnormalities in adult patients with chronic paracoccidioidomycosis: prolonged follow-up after itraconazole therapy. , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[7]  F. Queiroz-Telles,et al.  Detection of Circulating gp43 Antigen in Serum, Cerebrospinal Fluid, and Bronchoalveolar Lavage Fluid of Patients with Paracoccidioidomycosis , 2003, Journal of Clinical Microbiology.

[8]  S. Nouér,et al.  Endemic regions of paracoccidioidomycosis in Brazil: a clinical and epidemiologic study of 584 cases in the southeast region. , 1999, The American journal of tropical medicine and hygiene.

[9]  R. Hay,et al.  Antigenemia in Patients with Paracoccidioidomycosis: Detection of the 87-Kilodalton Determinant during and after Antifungal Therapy , 1998, Journal of Clinical Microbiology.

[10]  R. Hay,et al.  Use of monoclonal antibodies in diagnosis of paracoccidioidomycosis: new strategies for detection of circulating antigens , 1997, Journal of clinical microbiology.

[11]  R. Matthews Comparative assessment of the detection of candidal antigens as a diagnostic tool. , 1996, Journal of medical and veterinary mycology : bi-monthly publication of the International Society for Human and Animal Mycology.

[12]  E Brummer,et al.  Paracoccidioidomycosis: an update , 1993, Clinical Microbiology Reviews.

[13]  L. Wheat,et al.  Diagnosis of histoplasmosis in patients with the acquired immunodeficiency syndrome by detection of Histoplasma capsulatum polysaccharide antigen in bronchoalveolar lavage fluid. , 1992, The American review of respiratory disease.

[14]  J. Latgé,et al.  Detection of Aspergillus antigens associated with invasive infection , 1990, Journal of clinical microbiology.

[15]  D. Armstrong,et al.  Detection of Candida antigenuria in disseminated candidiasis by immunoblotting , 1990, Journal of clinical microbiology.

[16]  L. Travassos,et al.  Production of Paracoccidioides brasiliensis exoantigens for immunodiffusion tests , 1988, Journal of clinical microbiology.

[17]  M. R. Montenegro,et al.  Paracoccidioidomycosis: a recently proposed classification of its clinical forms. , 1987, Revista da Sociedade Brasileira de Medicina Tropical.

[18]  S. Kim,et al.  Galactomannan antigenemia and antigenuria in aspergillosis: studies in patients and experimentally infected rabbits. , 1987, The Journal of infectious diseases.

[19]  M. Franco,et al.  Host-parasite relationships in paracoccidioidomycosis. , 1987, Journal of medical and veterinary mycology : bi-monthly publication of the International Society for Human and Animal Mycology.

[20]  J. Graybill,et al.  Treatment of murine histoplasmosis with UK 49,858 (fluconazole). , 1986, The American review of respiratory disease.

[21]  L. Travassos,et al.  Exocellular components of Paracoccidioides brasiliensis: identification of a specific antigen , 1986, Infection and immunity.

[22]  M. M. Bradford A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. , 1976, Analytical biochemistry.