Evidence map›Paper›PMID 24850354›Full record

ArticleJournal of clinical microbiology2014

Rapid detection and identification of mucormycetes in bronchoalveolar lavage samples from immunocompromised patients with pulmonary infiltrates by use of high-resolution melt analysis.

Martina Lengerova, Zdenek Racil, Kristyna Hrncirova, Iva Kocmanova, Pavlina Volfova, Dita Ricna, Petr Bejdak, Mojmir Moulis, Zdenek Pavlovsky, Barbora Weinbergerova and 2 more

Open access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. A Rare Case ofInfectious disease reports · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Recent Advances in Diagnostic Approaches for Mucormycosis.Journal of fungi (Basel, Switzerland) · 2024
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Detection and identification ofFrontiers in cellular and infection microbiology · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Analytical Performance of the Commercial MucorGeniusJournal of fungi (Basel, Switzerland) · 2022
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Martina LengerovaDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic Department of Internal Medicine-Hematology and Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic CEITEC-Central European Institute of Technology, Masaryk University, Brno, Czech Republic mlengerova@fnbrno.cz.
Zdenek RacilDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic Department of Internal Medicine-Hematology and Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic CEITEC-Central European Institute of Technology, Masaryk University, Brno, Czech Republic.
Kristyna HrncirovaDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Iva KocmanovaDepartment of Clinical Microbiology, University Hospital Brno, Brno, Czech Republic.
Pavlina VolfovaDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Dita RicnaDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Petr BejdakDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Mojmir MoulisDepartment of Pathology, University Hospital Brno, Brno, Czech Republic.
Zdenek PavlovskyDepartment of Pathology, University Hospital Brno, Brno, Czech Republic.
Barbora WeinbergerovaDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Martina ToskovaDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic.
Jiri MayerDepartment of Internal Medicine-Hematology and Oncology, University Hospital Brno, Brno, Czech Republic Department of Internal Medicine-Hematology and Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic CEITEC-Central European Institute of Technology, Masaryk University, Brno, Czech Republic.
University Hospital Brno · CZCentral European Institute of Technology – Masaryk University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid differential diagnostics of pulmonary infiltrates suspected of invasive fungal disease in an immunocompromised host and early initiation of effective antifungal therapy are crucial for patient outcomes. There are no serological tests available to detect mucormycetes; therefore, PCR-based methods are highly suitable. We validated our previously published PCR followed by high-resolution melt analysis (PCR/HRMA) to detect Rhizopus spp., Rhizomucor pusillus, Lichtheimia corymbifera, and Mucor spp. in bronchoalveolar lavage (BAL) samples from immunocompromised patients who were at risk of invasive fungal disease. All PCR/HRMA-positive samples were retested using novel real-time quantitative PCR (RQ PCR) assays specific to the species identified. In total, between January 2009 and December 2012 we analyzed 99 BAL samples from 86 patients with pulmonary abnormalities using PCR/HRMA. Ninety (91%) BAL samples were negative, and 9 (9%) samples were positive. The sensitivity and specificity of PCR/HRMA were 100% and 93%, respectively. By combining the positive results of PCR/HRMA with positive RQ PCR results, the specificity was raised to 98%. PCR/HRMA, due to its high negative predictive value (99%), represents a fast and reliable tool for routine BAL sample screening for the differential diagnosis of pulmonary infiltrates in immunocompromised patients for the four most clinically important mucormycetes.

Indexed as

Bronchoalveolar Lavage FluidFemaleHumansImmunocompromised HostLung Diseases, FungalMaleMolecular Diagnostic TechniquesMucoralesMucormycosisPolymerase Chain ReactionPredictive Value of TestsSensitivity and SpecificityTime FactorsTransition Temperature

Identifiers

PMID24850354
PMCPMC4136189
OpenAlexW2112568765

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.