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传染性单核细胞增多症快速检测持续假阳性。五例报告及四至六年随访数据

Persistent falsely positive rapid tests for infectious mononucleosis. Report of five cases with four--six-year follow-up data.

作者信息

Horwitz C A, Henle W, Henle G, Penn G, Hoffman N, Ward P C

出版信息

Am J Clin Pathol. 1979 Nov;72(5):807-11. doi: 10.1093/ajcp/72.5.807.

DOI:10.1093/ajcp/72.5.807
PMID:228546
Abstract

In many laboratories, rapid slide tests incorporating differential absorption have replaced heterophil antibody tube tests in the investigation of suspect infectious mononucleosis. The present report describes serologic data from five individuals whose Monospot tests remained falsely positive for four years or more without other evidence of infectious mononucleosis or underlying disease states. Three of the five had never been infected with the Epstein-Barr virus. All five had negative results when studied with the ox cell hemolysin and the horse cell differential absorption tube tests. False-positive test results have also been encountered in healthy controls, as frequently as in patients with underlying disease states. The authors are unable to attach any clinical significance to the findings of an isolated falsely positive Monospot test even when it persists for many months or years.

摘要

在许多实验室中,在对疑似传染性单核细胞增多症的调查中,采用差异吸收的快速玻片试验已取代嗜异性抗体试管试验。本报告描述了五名个体的血清学数据,他们的嗜异性凝集试验持续四年或更长时间呈假阳性,且无其他传染性单核细胞增多症或潜在疾病状态的证据。这五人中三人从未感染过爱泼斯坦-巴尔病毒。用牛红细胞溶血素和马红细胞差异吸收试管试验检测时,这五人的结果均为阴性。在健康对照中也出现过假阳性检测结果,其出现频率与患有潜在疾病状态的患者相同。即使孤立的嗜异性凝集试验假阳性持续数月或数年,作者也无法赋予其任何临床意义。

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引用本文的文献

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Infectious Mononucleosis.传染性单核细胞增多症
Curr Top Microbiol Immunol. 2015;390(Pt 1):211-40. doi: 10.1007/978-3-319-22822-8_9.
2
Infectious mononucleosis.传染性单核细胞增多症。
Clin Transl Immunology. 2015 Feb 27;4(2):e33. doi: 10.1038/cti.2015.1. eCollection 2015 Feb.
3
Comparative evaluation of seven commercial tests for detection of heterophile antibody in infectious mononucleosis.七种用于检测传染性单核细胞增多症中嗜异性抗体的商业检测方法的比较评估。
Can J Infect Dis. 1992 Jan;3(1):23-6. doi: 10.1155/1992/510261.
4
Progress and problems in understanding and managing primary Epstein-Barr virus infections.原发性 EBV 感染的理解和管理方面的进展和问题。
Clin Microbiol Rev. 2011 Jan;24(1):193-209. doi: 10.1128/CMR.00044-10.
5
Evaluation of a novel dry latex preparation for demonstration of infectious mononucleosis heterophile antibody in comparison with three established tests.与三种既定检测方法相比,评估一种用于检测传染性单核细胞增多症嗜异性抗体的新型干乳胶制剂。
J Clin Microbiol. 1999 Jan;37(1):95-8. doi: 10.1128/JCM.37.1.95-98.1999.
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Horse erythrocyte glycoprotein-latex reagent that reacts with infectious mononucleosis heterophile antibody.与传染性单核细胞增多症嗜异性抗体发生反应的马红细胞糖蛋白-乳胶试剂。
J Clin Microbiol. 1982 Aug;16(2):307-13. doi: 10.1128/jcm.16.2.307-313.1982.
7
Detection of infectious mononucleosis heterophil antibody by a rapid, standardized enzyme-linked immunosorbent assay procedure.通过快速、标准化的酶联免疫吸附测定法检测传染性单核细胞增多症嗜异性抗体。
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Tests for infectious mononucleosis.传染性单核细胞增多症检测
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Comparative evaluation of three commercial tests for detection of heterophile antibody in patients with infectious mononucleosis.三种用于检测传染性单核细胞增多症患者嗜异性抗体的商业检测方法的比较评估。
J Clin Microbiol. 1988 Feb;26(2):275-8. doi: 10.1128/jcm.26.2.275-278.1988.