title: Detection of coccidioidal antibodies by 33-kDa spherule antigen, Coccidioides EIA, and standard serologic tests in sera from patients evaluated for coccidioidomycosis.
abstract: During a 9-month study of patients being evaluated for coccidioidomycosis, 1 or more serum samples were obtained from 138 patients with an illness suggestive of recent infection. In this group, standard immunodiffusion tests of unconcentrated sera were positive for 25; 49 additional patients had at least 1 reactive test result by newer enzyme-linked serologic tests. At least 11 of these 49 patients had coccidioidomycosis as determined by culture or subsequent standard serologic tests. Patients with coccidioidomycosis identified only by newer tests had fewer or milder clinical abnormalities than did patients in whom the disease was detected by standard tests. For 31 other patients with illness of a chronic or undetermined duration, newer tests detected only 10 more than the 18 identified by standard tests, suggesting that later in the course of illness, standard testing gains in sensitivity for coccidioidal infection.
authors.affiliation: Pathology Service, Department of Veterans Affairs Medical Center, Tucson, AZ 85723, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Wieden
authors.forename: L L
authors.initials: LL
authors.lastname: Lundergan
authors.forename: J
authors.initials: J
authors.lastname: Blum
authors.forename: K L
authors.initials: KL
authors.lastname: Delgado
authors.forename: R
authors.initials: R
authors.lastname: Coolbaugh
authors.forename: R
authors.initials: R
authors.lastname: Howard
authors.forename: T
authors.initials: T
authors.lastname: Peng
authors.forename: E
authors.initials: E
authors.lastname: Pugh
authors.forename: N
authors.initials: N
authors.lastname: Reis
authors.forename: J
authors.initials: J
authors.lastname: Theis
authors.forename: J N
authors.initials: JN
authors.lastname: Galgiani
mesh_terms: D000908:Antibodies, Fungal / Q000097:blood*; D000946:Antigens, Fungal; D002473:Cell Wall / Q000276:immunology; D003045:Coccidioides / Q000276:immunology*; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000276:immunology; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods*; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000276:immunology; D011446:Prospective Studies
chemical_list: D000908:Antibodies, Fungal; D000946:Antigens, Fungal; D007074:Immunoglobulin G; D007075:Immunoglobulin M