MycoBiomDB – Record Details (MyCo_2008)

Biomarker Record Details

Database ID: MyCo_2008
DB IDMyCo_2008
TitleCytokine profiles at admission can be related to outcome in AIDS patients with cryptococcal meningitis
Year2015
PMID25799044
Fungal Diseases involvedCryptococcal meningitis
Associated Medical ConditionAIDS
GenusCryptococcus
Speciesneoformans
OrganismCryptococcus neoformans
Ethical StatementThe study was approved by the Research Ethical Board of the Triângulo Mineiro Federal University (protocol #1350).
Site of InfectionNone
Opportunistic invasiveOpportunistic
Sample typeBody fluid
Sample sourceSerum
Host GroupHuman
Host Common nameHuman
Host Scientific nameHomo sapiens
Biomarker NameIL-17A
Biomarker Full NameInterleukin-17A
Biomarker TypeDiagnostic
BiomoleculeProtein
Geographical LocationBrazil
CohortThis study was carried out from August 2008 to November 2012 at the Teaching Hospital of Triângulo Mineiro Federal University in Uberaba, Minas Gerais State, Brazil. Thirty out of 38 AIDS-patients aged greater than equal 18 years presenting CM (CM+ HIV+) were prospectively enrolled. Cryptococcal meningitis case was defined on clinical and laboratory features including positive CSF India ink stain, CrAg test and Cryptococcus neoformans culture. Demographic, epidemiological, clinical, laboratory and outcome data were obtained from their medical records.
Cohort No.38
Age GroupNone
P Valuep≤0.04
SensitivityNone
SpecificityNone
Positive Predictive ValueNone
MICNone
Fold ChangeNone
PathwayNone
Disease Introduction MechanismCryptococcal meningitis (CM) is a common life-threatening fungal infection in AIDS patients and represents a medical, social and economic high burden due to its unacceptable 60% mortality rate. This occurs particularly in poor-resources settings where most individuals present late HIV diagnosis and severe fungal disease at admission together with a limited access to anti-retroviral (ART) and ideal antifungal therapy. Otherwise, in high-income countries, CM number of cases and mortality rate declined significantly following introduction of more effective ART and a gold standard antifungal therapy. Yearly, at least one million of cryptococcosis cases occur around the world, mostly in HIV infected individuals of whom 620,000 die, predominantly in sub-Saharan Africa where the mortality overpasses that associated to tuberculosis despite the expansion of ART programs and FLZ availability during the last years. Latin America is the third global region with high incidence and a 10-week mortality rate of 30 to 55%.
TechniqueELISA
Analysis MethodELISA Based
ELISA kitsELISA Kit (Welcozyme, Wellcome diagnostics, Dart ford, Oxford, UK)
Assay DataNone
Validation Techniques usedELISA, Western blot
Up Regulation Down RegulationIncrease
Sequence DataNone
External LinkNone