Detection of capsular polysaccharide antigen of Cryptococcus neoformans in patients with AIDS and neurocryptococcosis in São Paulo, Brazil

Capsular polysaccharide antigen (AgPC) of Cryptococcus neoformans was detected by latex agglutination technique (LA) in cerebrospinal fluid and serum of patients with AIDS during their first central nervous system manifestation of the disease. Direct mycological examination and culture were used as...

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Veröffentlicht in:Revista do Instituto de Medicina Tropical de São Paulo 1991-11, Vol.33 (6), p.485-490
Hauptverfasser: Calvo, B, Fischman, O, Castelo Filho, A, Reis Filho, J, Del Bianco, R, Barbosa, R M, Zaror, L
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container_issue 6
container_start_page 485
container_title Revista do Instituto de Medicina Tropical de São Paulo
container_volume 33
creator Calvo, B
Fischman, O
Castelo Filho, A
Reis Filho, J
Del Bianco, R
Barbosa, R M
Zaror, L
description Capsular polysaccharide antigen (AgPC) of Cryptococcus neoformans was detected by latex agglutination technique (LA) in cerebrospinal fluid and serum of patients with AIDS during their first central nervous system manifestation of the disease. Direct mycological examination and culture were used as controls. Sensitivity was 100% by LA allowing an early specific treatment of cryptococcosis. Initial titres of AgPC in such patients can be > 1000000 and it appears that when such titres are present in the serum they are related to mortality during treatment. Surviving patients showed positivity of the direct mycological examination and AgPC of C. neoformans in cerebrospinal fluid and sera even after treatment and clinical recovery.
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Acquired Immunodeficiency Syndrome - immunology
Acquired Immunodeficiency Syndrome - mortality
Adolescent
Adult
AIDS/HIV
Antigens, Bacterial - isolation & purification
Brain Diseases - immunology
Brain Diseases - mortality
Brazil
Cryptococcosis - immunology
Cryptococcosis - mortality
Cryptococcus neoformans - immunology
Female
Humans
Male
Middle Aged
Polysaccharides - immunology
title Detection of capsular polysaccharide antigen of Cryptococcus neoformans in patients with AIDS and neurocryptococcosis in São Paulo, Brazil
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