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KMID : 0378120020290010147
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Chungnam Medical Journal
2002 Volume.29 No. 1 p.147 ~ p.162
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ICT Tuberculosis Test Kit is Not Useful in the Diagnosis of Tuberculous Pleuritis
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Park Hee-Sun
Jo Eun-Kyung
Song Chang-Hwa
Jeong Seong-Su
Kim Ju-Ock
Kim Sun-Young
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Abstract
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The incidence of tuberculous pleuritis is high in Korea where the disease is endemic. Diagnosis of tuberculous pleuritis is often problematic for its difficulty in detecting microorganism by stain or culture and sometimes it is not available and to obtain specimens from the pleura because highly invasive procedures are needed. Repeated pleural biopsy is almost always hard for patients. Recent studies on tuberculosis have interest on new methods for accurate and rapid diagnosis. Serologic assay is one of the new imerging diagnostic method for tuerculosis and extrapulmonary tuberculosis. Total 38 subjects admitted in the Department of Respiratory Division of Internal Medicine of Chung-Nam National University Hospital are involved in this study. Median age of patients with tuberculous pleuritis was 40 years old, ranging from 18 to 88 years. All patients were receving treatmented by combination anti-tuberculous therapy after the test. The cardboard folding device contained a nitrocellulose strip on which the 38-kDa antigen from M. tuberculosis has been applied. When a specimen (pleural effusion, serum) flows past the nitrocellulose strip, antibodies specific for the 38-kDa antigen bind to the antigen line. In a reverse flow, the bound antibodies are detected by a goat anti-human immunoglobulin G antibody conjugated to colloidal gold particles and show a pink to red positive line. The test is completed in a maximum of 15 minites.
Two of the 38 subjects showed positivity. One case was from the pleura and the other from the serum. From the above data, we concluded that ICT Tuberculosis^( ) test is not effective in the diagnosis of tuberculous pleuritis.
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KEYWORD
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Tuberculous pleuritis, Serologic assay, ICT Tuberculosis^(?) test
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