Buchheidt Dieter, Hummel Margit, Schleiermacher Dietlind, Spiess Birgit, Hehlmann Rüdiger
3.Medizinische Klinik, Universitätsklinikum Mannheim, Ruprecht-Karls- Universität Heidelberg, Germany.
Leuk Lymphoma. 2004 Mar;45(3):463-8. doi: 10.1080/10428190310001593210.
Within the recent years, novel molecular methods, especially PCR assays, have been developed to improve the diagnosis of invasive aspergillosis in patients with malignant hematological diseases being at high risk for this life-threatening infection. Early diagnosis and treatment are essential for adequate therapeutical management, which however, often remains difficult since most of the diagnostic tools used clinically at present either lack specificity or acceptable sensitivity. The clinical value, advantages and remaining problems of recently developed molecular approaches to detect the emerging fungal pathogen are reviewed.
近年来,已开发出新型分子方法,尤其是聚合酶链反应(PCR)检测法,以改善对患有恶性血液病且面临这种危及生命感染高风险患者侵袭性曲霉病的诊断。早期诊断和治疗对于适当的治疗管理至关重要,然而,这往往仍然很困难,因为目前临床上使用的大多数诊断工具要么缺乏特异性,要么灵敏度不理想。本文综述了最近开发的用于检测这种新出现真菌病原体的分子方法的临床价值、优点及尚存的问题。