Kordy Faisal, Waters Valerie, Den-Hollander Cathy, Read Stanley, Lam Ray, Kitai Ian
Department of Paediatrics, Division of Infectious Diseases, The Hospital for Sick Children, Department of Paediatrics, and Department of Paediatric Laboratory Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Pediatr Infect Dis J. 2018 Jan;37(1):e22-e24. doi: 10.1097/INF.0000000000001732.
The rate of low-mitogen indeterminate interferon-gamma release assay results at a hospital with expert pediatric phlebotomy and rapid incubation of specimens was 0.96%. All low-mitogen indeterminate results were found to be associated with an immunocompromised or anergic state. We describe a child where an unexpected indeterminate interferon-gamma release assay test pointed to an underlying anergic condition and was of diagnostic significance.