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一名看似健康个体的人类免疫缺陷病毒线性免疫分析确证试验出现假阳性结果——病例报告

False-positive result of a confirmatory human immunodeficiency virus line immuno assay in an apparently healthy individual--a case report.

作者信息

Seme Katja, Kotnik-Kevorkijan Bozena, Baklan Zvonko, Fujs Kristina, Babic Dunja Z, Poljak Mario

机构信息

Slovenian HIV/AIDS Reference Laboratory, Institute of Microbiology and Immunology, Faculty of Medicine, Ljubljana, Slovenia.

出版信息

Coll Antropol. 2006 Dec;30 Suppl 2:43-6.

Abstract

A case of a false-positive result of human immunodeficiency virus (HIV) confirmatory immunoblot-based assay is described. Repeatedly borderline reactive anti-HIV screening enzyme immunoassay result obtained in a local hospital resulted in directing the sample to the Slovenian HIV/AIDS Reference Laboratory. In the Reference Laboratory, both anti-HIV screening assays and confirmatory Western blot were negative, while a confirmatory test INNO-LIA HIV I/II Score (Innogenetics, Ghent, Belgium) was anti-HIV-1 positive due to sgp120 and gp41 reactivity. The results of serological testing of the second sample obtained three weeks later were completely identical, while in the third sample obtained 5 months later, seroreversion was observed. Due to a negative dynamics in anti-HIV serological profile and repeatedly negative results of the molecular tests for HIV-1 and HIV-2, HIV infection was excluded and the results of test INNO-LIA HIV I/II Score were finally interpreted as false positive.

摘要

本文描述了一例基于免疫印迹法的人类免疫缺陷病毒(HIV)确证检测出现假阳性结果的案例。在当地一家医院反复获得的抗HIV筛查酶免疫测定结果处于临界反应性,导致该样本被送往斯洛文尼亚HIV/艾滋病参考实验室。在参考实验室,抗HIV筛查检测和确证性免疫印迹均为阴性,而确证性检测INNO-LIA HIV I/II Score(比利时根特的Innogenetics公司)因sgp120和gp41反应性而抗HIV-1呈阳性。三周后获得的第二个样本的血清学检测结果完全相同,而在五个月后获得的第三个样本中,观察到血清学逆转。由于抗HIV血清学特征呈阴性动态变化以及HIV-1和HIV-2分子检测结果反复为阴性,排除了HIV感染,最终将INNO-LIA HIV I/II Score检测结果解释为假阳性。

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