Application of Venn's diagram in the diagnosis of pleural tuberculosis using IFN-γ, IP-10 and adenosine deaminase

IFN-γ、IP-10及腺苷脱氨酶在Venn图诊断胸膜结核中的应用

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作者:Ana Paula Santos, Raquel da Silva Corrêa, Marcelo Ribeiro-Alves, Ana Carolina Oliveira Soares da Silva, Thiago Thomaz Mafort, Janaína Leung, Geraldo Moura Batista Pereira, Luciana Silva Rodrigues, Rogério Rufino

Background

Pleural tuberculosis (PlTB) is the most common extrapulmonary manifestation of this infectious disease which still presents high mortality rates worldwide. Conventional diagnostic tests for PlTB register multiple limitations, including the lack of sensitivity of microbiological

Conclusion

IFN-γ, IP-10, and ADA in PlTB effusions are significantly higher than in non-PlTB cases. IFN-γ is an excellent rule-in and rule-out test compared to IP-10 and ADA. The combination of IFN-γ and ADA, in a reviewed cut-off point, showed to be particularly useful to clinicians as their positive results combined prompts immediate treatment for TB while both negative results suggest further investigation.

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