Evidence map›Paper›PMID 37381179›Full record

SynthesisMedical mycology2023

Performance of the beta-glucan test for the diagnosis of invasive fusariosis and scedosporiosis: a meta-analysis.

Frederic Lamoth, Marcio Nucci, Ana Fernandez-Cruz, Elie Azoulay, Fanny Lanternier, Jens Bremerich, Hermann Einsele, Elizabeth Johnson, Thomas Lehrnbecher, Toine Mercier and 6 more

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medical mycology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Delayed cerebral abscess caused byMedical mycology case reports · 2026
    Article
  2. Review
  3. Article
  4. Animals : an open access journal from MDPI · 2025
    Review
  5. DisseminatedASM case reports · 2025
    Article
  6. Masquerading Yeast: A Case Report ofOpen forum infectious diseases · 2025
    Article
  7. Article
  8. Article
  9. Invasive Fungal Infection byJournal of fungi (Basel, Switzerland) · 2025
    Article
  10. Review
  11. Review
  12. Article
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

16 authors at 14 institutions in 10 countries.

Frederic LamothInfectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-1023-5597
Marcio NucciUniversity Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0003-4867-0014
Ana Fernandez-CruzInfectious Disease Unit, Internal Medicine Department, Puerta de Hierro-Majadahonda University Hospital, Fundación de Investigación Puerta de Hierro-Segovia de Arana, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0003-1189-1120
Elie AzoulayMédecine Intensive et Réanimation, APHP, Hôpital Saint-Louis, Paris Cité University, Paris, France.
Fanny LanternierInstitut Pasteur, Centre National de Référence Mycoses Invasives et Antifongiques, Groupe de recherche Mycologie Translationnelle, Département de Mycologie, Université Paris Cité, Paris, France.
Jens BremerichCardiothoracic Imaging Section, Department of Radiology, Basel University Hospital, 4031 Basel, Switzerland.
Hermann EinseleUniversity Hospital Würzburg, Internal Medicine II, Würzburg, Germany.
Elizabeth JohnsonUK Health Security Agency (UKHSA) Mycology Reference Laboratory, Southmead Hospital, Bristol, UK and MRC Centre for Medical Mycology, Exeter University, Exeter, UK.
Thomas LehrnbecherDivision of Pediatric Hematology and Oncology, Hospital for Children and Adolescents, University Hospital, Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
Toine MercierDepartment of Oncology-Hematology, AZ Sint-Maarten, Mechelen, Belgium.
Luciana PortoDivision of Neuroradiology, Pediatric Neuroradiology Department, University Hospital, Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
Paul E VerweijDepartment of Medical Microbiology, Radboud University Center, Nijmegen, The Netherlands.ORCID 0000-0002-8600-9860
Lewis WhitePublic Health Wales Mycology Reference Laboratory and Cardiff University Centre for Trials Research/Division of Infection and Immunity, UHW, Cardiff, UK.ORCID 0000-0003-3056-4205
Johan MaertensDepartment of Microbiology, Immunology, and Transplantation, KU Leuven, Leuven, Belgium and Department of Hematology, University Hospitals Leuven, Leuven, Belgium.
Alexandre AlanioInstitut Pasteur, Centre National de Référence Mycoses Invasives et Antifongiques, Groupe de recherche Mycologie Translationnelle, Département de Mycologie, Université Paris Cité, Paris, France.ORCID 0000-0001-9726-3082
9th European Conference on Infections in Leukemia (ECIL-9)
Goethe University Frankfurt · DEInstitut Pasteur · FRAZ Sint-Lucas · BEKU Leuven · BEPublic Health Wales · GBRadboud University Nijmegen · NLUniversidade Federal do Rio de Janeiro · BRHôpital Necker-Enfants Malades · FRHospital Universitario Puerta de Hierro Majadahonda · ESSouthmead Hospital · GBUniversitätsklinikum Würzburg · DEUniversité Paris Cité · FRUniversity Hospital of Basel · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The (1→3)-β-D-glucan (BDG) is a component of the fungal cell wall that can be detected in serum and used as an adjunctive tool for the diagnosis of invasive mold infections (IMI) in patients with hematologic cancer or other immunosuppressive conditions. However, its use is limited by modest sensitivity/specificity, inability to differentiate between fungal pathogens, and lack of detection of mucormycosis. Data about BDG performance for other relevant IMI, such as invasive fusariosis (IF) and invasive scedosporiosis/lomentosporiosis (IS) are scarce. The objective of this study was to assess the sensitivity of BDG for the diagnosis of IF and IS through systematic literature review and meta-analysis. Immunosuppressed patients diagnosed with proven or probable IF and IS, with interpretable BDG data were eligible. A total of 73 IF and 27 IS cases were included. The sensitivity of BDG for IF and IS diagnosis was 76.7% and 81.5%, respectively. In comparison, the sensitivity of serum galactomannan for IF was 27%. Importantly, BDG positivity preceded the diagnosis by conventional methods (culture or histopathology) in 73% and 94% of IF and IS cases, respectively. Specificity was not assessed because of lacking data. In conclusion, BDG testing may be useful in patients with suspected IF or IS. Combining BDG and galactomannan testing may also help differentiating between the different types of IMI.

Indexed as

beta-GlucansFusariosisInvasive Fungal InfectionsAnimalsSensitivity and Specificitybeta-Glucansacute leukemiabeta-D-glucanFusariuminvasive fungal infectionsLomentospora prolificansScedosporium apiospermumtransplant recipients

Identifiers

PMID37381179
PMCPMC10405209
OpenAlexW4382501436

What OpenQuestion holds

Textmetadata
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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.