Abstract
The diagnosis of histoplasmosis is based on a multifaceted approach that includes clinical, radiographic, and laboratory evidence of disease. The gold standards for laboratory diagnosis include demonstration of yeast on pathological examination of tissue and isolation of the mold in the culture of clinical specimens; however, antigen detection has provided a rapid, noninvasive, and highly sensitive method for diagnosis and is a useful marker of treatment response. Molecular methods with improved sensitivity on clinical specimens are being developed but are not yet ready for widespread clinical use. This review synthesizes currently available laboratory diagnostics for histoplasmosis, with an emphasis on complexities of testing and performance in various clinical contexts.
TY - JOUR
T1 - Laboratory Diagnostics for Histoplasmosis.
AU - Azar,Marwan M,
AU - Hage,Chadi A,
Y1 - 2017/03/08/
PY - 2017/3/10/pubmed
PY - 2018/2/13/medline
PY - 2017/3/10/entrez
KW - diagnosis
KW - histoplasmosis
SP - 1612
EP - 1620
JF - Journal of clinical microbiology
JO - J Clin Microbiol
VL - 55
IS - 6
N2 - The diagnosis of histoplasmosis is based on a multifaceted approach that includes clinical, radiographic, and laboratory evidence of disease. The gold standards for laboratory diagnosis include demonstration of yeast on pathological examination of tissue and isolation of the mold in the culture of clinical specimens; however, antigen detection has provided a rapid, noninvasive, and highly sensitive method for diagnosis and is a useful marker of treatment response. Molecular methods with improved sensitivity on clinical specimens are being developed but are not yet ready for widespread clinical use. This review synthesizes currently available laboratory diagnostics for histoplasmosis, with an emphasis on complexities of testing and performance in various clinical contexts.
SN - 1098-660X
UR - https://www.unboundmedicine.com/medline/citation/28275076/full_citation
L2 - http://jcm.asm.org/cgi/pmidlookup?view=long&pmid=28275076
DB - PRIME
DP - Unbound Medicine
ER -