Evidence map›Paper›PMID 41623633›Full record

ArticleFrontiers in microbiology2025

Diagnostic value of combined detection of cryptococcal antigen in serum and lung puncture fluid using lateral flow assay for diagnosing pulmonary cryptococcosis: a single-center prospective study.

Jinbao Huang, Xinchen Lin, Meiqin Jiang, Yangyu Li, Li Wang, Shungui Xu, Heng Weng, Hongyan Li, Ling Ye

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Jinbao Huang *Department of Pulmonary and Critical Care Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Xinchen Lin *Department of Interventional Radiology, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Meiqin Jiang *Department of Pulmonary and Critical Care Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Yangyu LiDepartment of Clinical Laboratory Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Li WangDepartment of Pathology, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Shungui XuDepartment of Pulmonary and Critical Care Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Heng WengDepartment of Pulmonary and Critical Care Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Hongyan LiDepartment of Critical Care Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Ling YeDepartment of Pulmonary and Critical Care Medicine, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the diagnostic value of the combined detection of cryptococcal antigen (CrAg) in the serum and lung puncture fluid (LPF) using a lateral flow assay (LFA) in patients with pulmonary cryptococcosis (PC). Methods: Patients with suspected PC were prospectively enrolled between June 2023 and July 2025 and underwent the IMMY CrAg LFA (Immuno-Mycologics, Norman, OK, United States) of serum and LPF specimens. Conventional fungal cultures were performed simultaneously and the diagnostic efficiencies of these methods for PC were compared. Results: Samples were obtained from 167 patients, 33 with PC and 134 without PC. Among patients with PC, the sensitivity of serum CrAg testing was 75.8% [95% confidence interval (CI), 61.1-90.4%; 25/33] and that of LPF CrAg testing was 90.9% (95% CI, 81.1-100%; 30/33). The combination of serum and LPF testing increased the overall sensitivity of CrAg testing to 97.0% (95% CI, 91.2-100%; 32/33). The sensitivity, accuracy, and negative predictive value (NPV) of LPF culture were significantly lower than those of serum CrAg detection ( Conclusion: Serum CrAg testing has superior sensitivity and accuracy compared to the conventional cryptococcal culture method using LPF, and CrAg testing of LPF samples further enhances diagnostic sensitivity. Moreover, detecting CrAg in serum and LPF specimens together provides high sensitivity and specificity, which significantly improves the diagnostic efficiency of PC.

Indexed as

cryptococcal antigendiagnosisimmunochromatographylateral flow immunoassaypulmonary cryptococcosis

Identifiers

PMID41623633
PMCPMC12855499

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