Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil

Two polymerase chain reaction (PCR) protocols showed low sensitivity (36% and 53% for TB AMPLICOR and MPB64 nested PCR, respectively), when compared with classic microbiological methods (73% and 54% for Ziehl-Neelsen staining and culture, respectively), in the diagnosis of tuberculous meningitis in...

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Main Authors: Vânia Maria Sabadoto Brienze, Ângela Pedroso Tonon, Fabrício José Tarelho Pereira, Elisabete Liso, Waldir Antônio Tognola, Manoel Armando Azevedo dos Santos, Marcelo Urbano Ferreira
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2001-08-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822001000400015&tlng=en
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author Vânia Maria Sabadoto Brienze
Ângela Pedroso Tonon
Fabrício José Tarelho Pereira
Elisabete Liso
Waldir Antônio Tognola
Manoel Armando Azevedo dos Santos
Marcelo Urbano Ferreira
author_facet Vânia Maria Sabadoto Brienze
Ângela Pedroso Tonon
Fabrício José Tarelho Pereira
Elisabete Liso
Waldir Antônio Tognola
Manoel Armando Azevedo dos Santos
Marcelo Urbano Ferreira
author_sort Vânia Maria Sabadoto Brienze
collection DOAJ
description Two polymerase chain reaction (PCR) protocols showed low sensitivity (36% and 53% for TB AMPLICOR and MPB64 nested PCR, respectively), when compared with classic microbiological methods (73% and 54% for Ziehl-Neelsen staining and culture, respectively), in the diagnosis of tuberculous meningitis in 91 patients in southeastern Brazil. Only three PCR-positive, microbiologically negative patients were found. Analysis of sequential cerebrospinal fluid samples by nested PCR detected Mycobacterium tuberculosis DNA up to 29 days after the introduction of antituberculosis chemotherapy.
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spelling doaj.art-ef5b991d200f4459b4de754e93c524142022-12-22T00:28:51ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492001-08-01344389393Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern BrazilVânia Maria Sabadoto Brienze0Ângela Pedroso Tonon1Fabrício José Tarelho Pereira2Elisabete Liso3Waldir Antônio Tognola4Manoel Armando Azevedo dos Santos5Marcelo Urbano Ferreira6Faculdade de Medicina de São José do Rio PretoFaculdade de Medicina de São José do Rio PretoFaculdade de Medicina de São José do Rio PretoFaculdade de Medicina de São José do Rio PretoFaculdade de Medicina de São José do Rio PretoUniversidade de São PauloUniversidade de São PauloTwo polymerase chain reaction (PCR) protocols showed low sensitivity (36% and 53% for TB AMPLICOR and MPB64 nested PCR, respectively), when compared with classic microbiological methods (73% and 54% for Ziehl-Neelsen staining and culture, respectively), in the diagnosis of tuberculous meningitis in 91 patients in southeastern Brazil. Only three PCR-positive, microbiologically negative patients were found. Analysis of sequential cerebrospinal fluid samples by nested PCR detected Mycobacterium tuberculosis DNA up to 29 days after the introduction of antituberculosis chemotherapy.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822001000400015&tlng=enDiagnosis of tuberculous meningitisPCRMycobacterium tuberculosis
spellingShingle Vânia Maria Sabadoto Brienze
Ângela Pedroso Tonon
Fabrício José Tarelho Pereira
Elisabete Liso
Waldir Antônio Tognola
Manoel Armando Azevedo dos Santos
Marcelo Urbano Ferreira
Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil
Revista da Sociedade Brasileira de Medicina Tropical
Diagnosis of tuberculous meningitis
PCR
Mycobacterium tuberculosis
title Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil
title_full Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil
title_fullStr Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil
title_full_unstemmed Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil
title_short Low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern Brazil
title_sort low sensitivity of polymerase chain reaction for diagnosis of tuberculous meningitis in southeastern brazil
topic Diagnosis of tuberculous meningitis
PCR
Mycobacterium tuberculosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822001000400015&tlng=en
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