False-negative result of serum cryptococcal antigen lateral flow assay in an HIV-infected patient with culture-proven cryptococcaemia

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Citações na Scopus
13
Tipo de produção
article
Data de publicação
2019
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ELSEVIER
Autores
BORGES, Moara Alves Santa Barbara
ARAUJO FILHO, Joao Alves de
SOARES, Renata de Bastos Ascenco
TURCHI, Marllia Dalva
Citação
MEDICAL MYCOLOGY CASE REPORTS, v.26, p.64-66, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The detection of cryptococcal capsular antigen (CrAg) is very sensitive and specific, however false-negative results have been reported, mostly in cerebrospinal fluid. We report the case of an HIV-infected patient with CD4 = 42 cells/mL, asthenic, negative serum CrAg lateral flow assay (LFA) and culture-proven cryptococcaemia. Despite the high accuracy of LFA, false-negative result is possible. Careful clinical evaluation and close follow-up are relevant.
Palavras-chave
Cryptococcosis, AIDS, Fungal antigens, False negative reaction, Prozone effect
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