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The Role of Molecular Tests in the Diagnosis of Disseminated Histoplasmosis

1
Post-graduation Program in Pathology, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre 90050-170, Brazil
2
Molecular Biology Laboratory, Santa Casa de Misericórdia de Porto Alegre. Av Independência 155, Hospital Dom Vicente Scherer, heliponto, Porto Alegre 90020-090, Brazil
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
J. Fungi 2020, 6(1), 1; https://doi.org/10.3390/jof6010001
Received: 19 November 2019 / Accepted: 13 December 2019 / Published: 18 December 2019
(This article belongs to the Special Issue Molecular Diagnostics of Fungal Infections)
Histoplasmosis is an emerging fungal disease, with global distribution. The disseminated form of the disease is a more severe infection, generally associated with AIDS. Classic diagnostic methods for histoplasmosis consist of microscopy, culture, and histopathology. More recently, the importance of Histoplasma antigen detection has dominated the literature on histoplasmosis diagnosis, but the relevance of molecular assays has not been as much studied. Here we describe the results of a systematic literature review focusing on studies that mainly compared immunological techniques (Histoplasma urine antigen detection) with molecular tests for the diagnosis of histoplasmosis. In addition to the review of comparative studies using such diagnostic techniques, the literature on polymerase chain reaction (PCR) tests in patients with disseminated histoplasmosis is also summarized. Two studies reported the comparison between immunological and molecular methods applied simultaneously for the diagnosis of disseminated histoplasmosis. PCR demonstrates a satisfactory performance assisting in the detection of Histoplasma spp. DNA in clinical samples. View Full-Text
Keywords: AIDS; histoplasmosis; immunological tests; molecular diagnosis; PCR AIDS; histoplasmosis; immunological tests; molecular diagnosis; PCR
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Vasconcellos, I.C.S.; Dalla Lana, D.F.; Pasqualotto, A.C. The Role of Molecular Tests in the Diagnosis of Disseminated Histoplasmosis. J. Fungi 2020, 6, 1.

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