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脑脊髓液中的 Pentraxin 3 在中枢神经系统感染中的作用:一项回顾性队列研究。

Pentraxin 3 in the cerebrospinal fluid during central nervous system infections: A retrospective cohort study.

机构信息

Department of Pulmonary and Infectious Diseases, Copenhagen University Hospital, Hillerød, North Zealand, Denmark.

Stemform/StemMedical, Cell Production and RnD, Søborg, Copenhagen Region, Denmark.

出版信息

PLoS One. 2023 Mar 2;18(3):e0282004. doi: 10.1371/journal.pone.0282004. eCollection 2023.

DOI:10.1371/journal.pone.0282004
PMID:36862691
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9980753/
Abstract

The present study describes diagnostic and prognostic abilities of Cerebrospinal fluid (CSF) Pentraxin 3 (PTX3) in central nervous system (CNS) infections. CSF PTX3 was measured retrospectively from 174 patients admitted under suspicion of CNS infection. Medians, ROC curves and Youdens index was calculated. CSF PTX3 was significantly higher among all CNS infections and undetectable in most of the patients in the control group, and significantly higher in bacterial infections compared to viral and Lyme infections. No association was found between CSF PTX3 and Glasgow Outcome Score. PTX3 in the CSF can distinguish bacterial infection from viral and Lyme infections and non-CNS infections. Highest levels were found in bacterial meningitis. No prognostic abilities were found.

摘要

本研究描述了脑脊液(CSF)Pentraxin 3(PTX3)在中枢神经系统(CNS)感染中的诊断和预后能力。从怀疑患有 CNS 感染的 174 名患者中回顾性测量了 CSF PTX3。计算中位数、ROC 曲线和 Youdens 指数。所有 CNS 感染患者的 CSF PTX3 明显升高,而对照组大多数患者无法检测到,细菌感染患者的 CSF PTX3 明显高于病毒和莱姆感染患者。CSF PTX3 与格拉斯哥结局评分之间无相关性。CSF 中的 PTX3 可区分细菌感染与病毒和莱姆感染以及非 CNS 感染。在细菌性脑膜炎中发现最高水平。未发现预后能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/2dc93f0b7afd/pone.0282004.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/acb27563b2b9/pone.0282004.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/0e80a08ce6e4/pone.0282004.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/2dc93f0b7afd/pone.0282004.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/acb27563b2b9/pone.0282004.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/0e80a08ce6e4/pone.0282004.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe7/9980753/2dc93f0b7afd/pone.0282004.g003.jpg

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Acta Anaesthesiol Scand. 2022 Apr;66(4):507-515. doi: 10.1111/aas.14036. Epub 2022 Feb 14.
2
Determination of pentraxin 3 levels in cerebrospinal fluid during central nervous system infections.测定中枢神经系统感染时脑脊液中 pentraxin 3 的水平。
Eur J Clin Microbiol Infect Dis. 2020 Apr;39(4):665-670. doi: 10.1007/s10096-019-03767-w. Epub 2019 Dec 8.
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Epidemiology of Meningitis in Oman-Implications for Future Surveillance.
阿曼脑膜炎流行病学-对未来监测的启示。
J Epidemiol Glob Health. 2018 Dec;8(3-4):231-235. doi: 10.2991/j.jegh.2018.02.001.
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Incidence, aetiology, and sequelae of viral meningitis in UK adults: a multicentre prospective observational cohort study.英国成年人病毒性脑膜炎的发病率、病因学和后遗症:一项多中心前瞻性观察队列研究。
Lancet Infect Dis. 2018 Sep;18(9):992-1003. doi: 10.1016/S1473-3099(18)30245-7. Epub 2018 Jun 29.
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Cerebrospinal fluid lactate as a marker to differentiate between community-acquired acute bacterial meningitis and aseptic meningitis/encephalitis in adults: a Danish prospective observational cohort study.脑脊液乳酸作为鉴别成人社区获得性急性细菌性脑膜炎和无菌性脑膜炎/脑炎的标志物:一项丹麦前瞻性观察队列研究。
Infect Dis (Lond). 2018 Jul;50(7):514-521. doi: 10.1080/23744235.2018.1441539. Epub 2018 Feb 28.
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