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Multiplex PCR for cryptococcal meningoencephalitis – calling for caution!!!


Journal of Bacteriology & Mycology: Open Access
Neha Gupta,1 Ravi Bhushan,1 Atmaram Bansal,2 Arun Garg,2 Jayesh Modi,3 Rajiv Gupta,3 Reeshika Verma,3 Dinesh Bansal,4 Vijay Kher,4 Rashmi,5 Teena Wadhwa,5 Smita Sharma,5 Rajeev Soman6

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Abstract

An early diagnosis of cryptococcal meningoencephalitis is needed for prevention of significant morbidity and mortality. We present two cases of culture positive cryptococcal meningoencephalitis where the cerebrospinal fluid (CSF) molecular PCR panel failed to detect the Cryptoccoccus resulting in delay in diagnosis. Careful interpretation of such molecular platforms and multiple testing methods including CSF cryptococcal antigen (CrAG) and cultures are advised in suspected cryptococcal meningitis.

Keywords

cryptococcal meningitis, bio fire filmarray meningitis/encephalitis panel, molecular diagnosis, cryptococcal meningoencephalitis, cryptococcal Ag test

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