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Diagnostic value of tuberculosis-specific antigens ESAT-6 and CFP10 in lymph node tuberculosis.
Chen, Xueqian; Duan, Shaoqi; Zhou, Xinchun; Fang, Shiyu; Gu, Guihua; Sun, Jie; Liu, Fengjun.
Afiliación
  • Chen X; Department of Infectious Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China.
  • Duan S; School of International Education and Cooperation, North Sichuan Medical College, Nanchong, Sichuan Province, China.
  • Zhou X; Department of Infectious Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China.
  • Fang S; Department of Infectious Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China.
  • Gu G; Department of Infectious Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China.
  • Sun J; Department of Infectious Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China.
  • Liu F; Department of Infectious Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China.
Heliyon ; 10(8): e29251, 2024 Apr 30.
Article en En | MEDLINE | ID: mdl-38638946
ABSTRACT

Objective:

To assess the diagnostic value of immunohistochemical (IHC) staining for detecting the tuberculosis-secreted antigens ESAT-6 and CFP10 in lymph node tuberculosis.

Methods:

Archived, paraffin-embedded lymph node specimens from 72 patients diagnosed with lymph node tuberculosis and 68 patients with lymphoma were retrospectively collected from the Department of Pathology at the Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China between January 2016 and March 2023. These specimens were subjected to acid-fast and immunohistochemical staining to compare the effectiveness of these methods, with their sensitivity and specificity evaluated against a comprehensive reference standard.

Results:

Acid-fast staining demonstrated a sensitivity of 12.3% and a specificity of 100%. IHC staining for ESAT-6 showed a sensitivity of 87.5% and a specificity of 85.3%, whereas IHC staining for CFP10 exhibited a sensitivity of 75.0% and a specificity of 89.7%.

Conclusion:

The study indicates that IHC detection of ESAT-6 and CFP10 in paraffin-embedded lymph node tuberculosis tissues has a markedly higher sensitivity compared to acid-fast staining. Thus, IHC staining may serve as a supplementary diagnostic tool for the pathological evaluation of lymph node tuberculosis.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido