MycoBiomDB – Record Details (MyCo_2467)

Biomarker Record Details

Database ID: MyCo_2467
DB IDMyCo_2467
TitleThe role of bronchoalveolar lavage galactomannan in the diagnosis of pediatric invasive aspergillosis
Year2009
PMID19238113
Fungal Diseases involvedInvasive aspergillosis
Associated Medical ConditionNone
GenusAspergillus
Speciesspp.
OrganismAspergillus spp.
Ethical StatementELISA Based
Site of InfectionNone
Opportunistic invasiveInvasive
Sample typeBody fluid
Sample sourceBronchoalveolar lavage fluid (BALF)
Host GroupHuman
Host Common nameHuman
Host Scientific nameHomo sapiens
Biomarker NameGM
Biomarker Full NameGalactomannan
Biomarker TypeDiagnostic
BiomoleculeProtein
Geographical LocationUSA
CohortEighty-five BAL GM assays were submitted at the discre- tion of the attending clinicians. Of 85 pediatric patients who had a BAL GM submitted during the study, 59 were immunocompromised. Three patients were identified as having proven IA, 6 had probable IA, 37 had possible IA, and 39 had no evidence of IA; 38 had a concurrent serum GM performed.
Cohort No.85
Age GroupNone
P ValueNone
Sensitivity0.78
Specificity1
Positive Predictive Value0.58
MICNone
Fold ChangeNone
PathwayNone
Disease Introduction MechanismInvasive aspergillosis (IA) is an important cause of morbidity and mortality in immunocompromised pediatric patients. Timely di- agnosis is challenging because comorbid conditions and immuno- modulation often result in nonspecific signs and symptoms of disease. In addition, in pediatric patients, classic radiologic find- ings are identified at a lower incidence than in adults. Although the standard for diagnosis is lung biopsy, this approach engenders risk in medically fragile, neutropenic patients and has unclear sensitivity. Focus on early diagnosis has resulted in identifying surrogate markers such as galactomannan (GM), a cell wall poly- saccharide released by Aspergillus hyphae.
TechniqueELISA
Analysis MethodELISA Based
ELISA kitsELISA Kit- Platelia Aspergillus (Platelia Aspergillus EIA, Bio-Rad, France).
Assay DataNone
Validation Techniques usedFDA Approved -Platelia Aspergillus ELISA
Up Regulation Down RegulationPositive
Sequence DataNone
External LinkNone