Seme Katja, Kotnik-Kevorkijan Bozena, Baklan Zvonko, Fujs Kristina, Babic Dunja Z, Poljak Mario
Slovenian HIV/AIDS Reference Laboratory, Institute of Microbiology and Immunology, Faculty of Medicine, Ljubljana, Slovenia.
Coll Antropol. 2006 Dec;30 Suppl 2:43-6.
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.
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。