Value of immunodiffusion tests in the diagnosis of systemic mycotic diseases.
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Aspergillosis↗
Biomedical subjects
L Kaufman
Publications and source records attributed to L Kaufman.
Nuclear magnetic resonance imaging of syringomyelia.
Five patients with syringomyelia were examined with a 3.5 kG nuclear magnetic resonance (NMR) imager. Syrinx cavities were visualized in all five cases, and image quality compared favorably with metrizamide computed tomography (CT). Axial images were optimal for identifying syrinx cavities, and sagittal views were useful in providing an overview of cord morphology and in examining the craniocervical junction. Inversion-recovery images were less valuable than the spin-echo sequences. By varying spin-echo imaging parameters, tissue relaxation times could be determined and the fluid nature of the syrinx cavities confirmed. This limited study suggests that NMR may challenge the current role of CT in the diagnostic workup of syringomyelia.
Diagnosis, Differential↗
NMR of the normal and pathologic eye and orbit.
Nuclear magnetic resonance (NMR) images of the eye and orbit were reviewed in a series of 100 normals and in four patients with orbital or ocular pathology. A rich retrobulbar fat content rendered the orbit well suited for NMR imaging. The lens, vitreous, optic nerve, and extraocular muscles were well visualized with spin-echo technique. However, NMR spatial resolution was inferior to that of high-resolution computed tomography (CT). NMR was comparable to CT in demonstrating choroidal melanoma and orbital pseudotumor. NMR exhibited a particular sensitivity in displaying tissue contrast for infiltrative orbital fat lesions with a relatively long T1. This initial experience suggests a promising role for NMR in orbital imaging.
Adolescent↗
The correlation of dexamethasone suppression test and thyrotropin-releasing hormone test results in different subtypes of depression.
TSH response to I.V. TRH and suppression of cortisol secretion by dexamethasone were studied in 51 depressive inpatients. There was no significant relationship between the results on both tests, considering blunted TSH responses to TRH and nonsuppression on the DST. Both tests were not complementary in identifying various subgroups of depression as far as the predictive value of a positive result on either or both tests is concerned. Methodological and clinical issues regarding these markers are briefly discussed.
Adult↗
Nuclear magnetic resonance imaging: applications for neurological abnormalities.
In recent clinical trials, nuclear magnetic resonance (NMR) imagers have demonstrated their ability to generate images with superb contrast and spatial detail in multiple planes. Blood vessels are especially well defined without the use of contrast agents. Although NMR is highly sensitive to changes in tissue composition, the potential of NMR to differentiate among different pathologic entities remains to be fully elucidated.
Brain↗
The value of the Premier enzyme immunoassay for diagnosing Blastomyces dermatitidis infections.
One hundred and three sera drawn from 20 proven and 65 suspected cases of blastomycosis were examined concurrently with the enzymes immunoassay and microimmunodiffusion tests for the 'A' antibody specific for Blastomyces dermatitidis. Results indicated that all 20 proven sera were positive by both these tests. Thirteen of the 65 sera from suspected blastomycosis cases were positive by the enzyme immunoassay only, whereas none reacted positively in the micro-immunodiffusion test. Eighteen sera from apparently normal subjects, and patients with heterologous fungal and HIV infections were also tested by both tests. The sensitivity and specificity of the enzyme immunoassay test was 100% and 85.6%, respectively. The micro- immunodiffusion test was 100% sensitive and specific. In light of the fact that the enzyme immunoassay test is not entirely specific, a positive result should be confirmed by either a positive culture, histopathology or micro-immunodiffusion test.
Antibodies, Fungal↗
Ureaplasma urealyticum in respiratory diseases of 255 preterm neonates and infants.
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Bacterial Infections↗
Opportunistic infections of the central nervous system in children with HIV infection: report of 9 autopsy cases and review of literature.
Central nervous system (CNS) abnormalities attributed to direct effects of HIV infection are seen in most of children with acquired immunodeficiency syndrome (AIDS). Secondary CNS infections with opportunistic and common pathogens are infrequent in this age group. We report 9 cases of opportunistic infection of the CNS found among 65 autopsy cases of pediatric AIDS. These included 4 cases of cytomegalovirus (CMV) infection, 1 of which was associated with aspergillosis, and 2 cases of candidiasis, 1 of which coexisted with Mycobacterium avium intracellulare (MAI) infection. There were also 2 cases of leptomeningitis, 1 due to Mycobacterium tuberculosis (MTB) and the other to Cryptococcus neoformans. In 1 child progressive multifocal leukoencephalopathy (PML) coexisted with mycotic encephalitis caused by an Aspergillus sp.
AIDS-Related Opportunistic Infections↗
An exoantigen test for the rapid identification of medically significant Fusarium species.
The accurate identification of Fusarium species can take 2-3 weeks. Preliminary exoantigen studies indicate that a mature culture suspected of being a Fusarium species may be immunologically identified 48 h after receipt. Exoantigen extracts of 10-day-old slant cultures of Fusarium chlamydosporum, Fusarium moniliforme (= Fusarium verticilloides), Fusarium oxysporum, Fusarium proliferatum and Fusarium solani and partially purified reference homologous and heterologous shake culture extracts (6-week-old) were reacted against rabbit anti-F. chlamydosporum, F. moniliforme, F. oxysporum, F. proliferatum and F. solani sera, in a micro-immunodiffusion procedure. The results indicated that all the strains belonging to a given species produced 1-3 bands of identity only when tested against its homologous antiserum and reference antigen. No cross-reactions were observed with the heterologous antisera. Furthermore, extracts from isolates of Fusarium dimerum, Fusarium equiseti, Fusarium roseum complex, Acremonium species, Cylindrocarpon, Fonsecaea pedrosoi and Trichoderma species did not react with any of the prepared Fusarium species' antisera. Our data suggest that the exoantigen procedure is a rapid and reliable tool for the accurate immuno-identification of the medically important Fusarium species studied.
Animals↗