Detection of Circulating Candida Enolase by Immunoassay in Patients with Cancer and Invasive Candidiasis

INVASIVE candidiasis is difficult to diagnose and is the cause of substantial morbidity and mortality in patients with cancer. 1 2 3 4 5 The current approach to the diagnosis of invasive candidiasis consists of clinical suspicion and the use of blood cultures, diagnostic imaging techniques (e.g., CT...

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Veröffentlicht in:The New England journal of medicine 1991-04, Vol.324 (15), p.1026-1031
Hauptverfasser: Walsh, Thomas J, Hathorn, James W, Sobel, Jack D, Merz, William G, Sanchez, Veronica, Maret, S. Melissa, Buckley, Helen R, Pfaller, Michael A, Schaufele, Robert, Sliva, Clara, Navarro, Eileen, Lecciones, Julius, Chandrasekar, P, Lee, James, Pizzo, Philip A
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container_end_page 1031
container_issue 15
container_start_page 1026
container_title The New England journal of medicine
container_volume 324
creator Walsh, Thomas J
Hathorn, James W
Sobel, Jack D
Merz, William G
Sanchez, Veronica
Maret, S. Melissa
Buckley, Helen R
Pfaller, Michael A
Schaufele, Robert
Sliva, Clara
Navarro, Eileen
Lecciones, Julius
Chandrasekar, P
Lee, James
Pizzo, Philip A
description INVASIVE candidiasis is difficult to diagnose and is the cause of substantial morbidity and mortality in patients with cancer. 1 2 3 4 5 The current approach to the diagnosis of invasive candidiasis consists of clinical suspicion and the use of blood cultures, diagnostic imaging techniques (e.g., CT scanning and magnetic resonance imaging), and tissue biopsy. These approaches, however, often lack sensitivity, may produce positive results only in more advanced stages of infection, and may be unduly invasive in immunocompromised patients. Newer diagnostic approaches for invasive candidiasis include the detection of candida cell-wall antigens, such as mannans, 6 , 7 and candida metabolites, such as D-arabinitol. 8 , 9 Little is . . .
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These approaches, however, often lack sensitivity, may produce positive results only in more advanced stages of infection, and may be unduly invasive in immunocompromised patients. 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These approaches, however, often lack sensitivity, may produce positive results only in more advanced stages of infection, and may be unduly invasive in immunocompromised patients. 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subjects Antigenemia
Antigens
Antigens, Fungal - analysis
Bacteremia
Biological and medical sciences
Biomarkers - blood
Blood
Cancer
Candida
Candida - enzymology
Candida - immunology
Candida albicans
Candidiasis
Candidiasis - diagnosis
Candidiasis - enzymology
Colonization
Cross Infection - diagnosis
Cross Infection - enzymology
Enzymes
Fungal infections
Fungemia
Hospitals
Humans
Immunoassay
Infectious diseases
Invasiveness
Laboratories
Medical imaging
Medical sciences
Microbiology
Mortality
Mucosa
Mycoses
Neoplasms - complications
Neutropenia
Neutropenia - complications
Nosocomial infection
Pediatrics
Phosphopyruvate hydratase
Phosphopyruvate Hydratase - blood
Phosphopyruvate Hydratase - immunology
Tissue culture
title Detection of Circulating Candida Enolase by Immunoassay in Patients with Cancer and Invasive Candidiasis
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