Evidence map›Paper›PMID 38132741›Full record

ArticleJournal of fungi (Basel, Switzerland)2023

Finger-Prick Whole Blood Cryptococcal Antigen Lateral Flow Assay for the Diagnosis of Cryptococcosis in HIV-Negative Patients: A Case Series Study in Two Tertiary Centers in São Paulo, Brazil.

José E Vidal, Fernanda Gurgel Oliveira, Marcela Vieira, Luisa Pereira, Rodovaldo M Lucas Junior, Bruno Fukelman Guedes, Marcello Chaves Magri, David R Boulware

Open access · goldAbstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 3 institutions in 2 countries.

José E VidalDepartamento de Neurologia, Instituto de Infectologia Emílio Ribas, São Paulo 01246-900, Brazil.ORCID 0000-0001-7830-8716
Fernanda Gurgel OliveiraDepartamento de Infectologia, Instituto de Infectologia Emílio Ribas, São Paulo 01246-900, Brazil.
Marcela VieiraDepartamento de Infectologia, Instituto de Infectologia Emílio Ribas, São Paulo 01246-900, Brazil.ORCID 0000-0003-0255-8780
Luisa PereiraDepartamento de Infectologia, Instituto de Infectologia Emílio Ribas, São Paulo 01246-900, Brazil.ORCID 0000-0002-0725-4594
Rodovaldo M Lucas JuniorDepartamento de Infectologia, Instituto de Infectologia Emílio Ribas, São Paulo 01246-900, Brazil.
Bruno Fukelman GuedesDepartamento de Neurologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, Brazil.ORCID 0000-0001-8391-2117
Marcello Chaves MagriDepartamento de Moléstias Infecciosas e Parasitárias, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, Brazil.ORCID 0000-0001-7996-8265
David R BoulwareDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-4715-0060
Instituto de Infectologia Emílio Ribas · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptococcosis in HIV-negative patients can be an opportunistic or endemic disease. There are no published studies on the use of the finger-prick whole blood (point-of-care) cryptococcal antigen lateral flow assay (CrAg LFA) for diagnosing cryptococcosis in HIV-negative patients. We conducted a case series study of HIV-negative patients with cryptococcosis in two centers in São Paulo, Brazil. The objectives were to identify the sensitivity of a finger-prick whole blood CrAg LFA and to describe the main characteristics of this population. We identified 30 HIV-negative patients with cryptococcosis [19 (63%), male; median age, 47 years]. Ten (33%) patients were immunosuppressed, ten (33%) had other comorbidities, and ten (33%) were apparently immunocompetent and without comorbidities. The distribution of the sites of cryptococcosis was as follows: the central nervous system, 90% (n = 27); pulmonary, 43% (n = 13); and other extrapulmonary sites, 40% (n = 12). The sensitivity of the finger-prick whole blood CrAg LFA for the diagnosis of cryptococcosis was 97% (29/30). Among 26 participants with cryptococcal meningitis, the sensitivity of testing cerebrospinal fluid was as follows: CrAg latex agglutination, 77% (20/26); CrAg LFA, 96% (25/26); and culture, 81% (21/26). Culture speciation identified

Indexed as

Brazilcryptococcal meningitiscryptococcosisCryptococcus gattiidiagnosislateral flow assaypoint-of-care testing

Identifiers

PMID38132741
PMCPMC10744370
OpenAlexW4389049747

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.