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APPLICATION OF VENN'S DIAGRAM IN THE DIAGNOSIS OF PLEURAL TUBERCULOSIS USING IFN-γ, IP-10 AND ADENOSINE DEAMINASE
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Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Laboratory of Immunopathology, Medical Sciences Faculty (FCM)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil
Laboratory of Immunopathology, Medical Sciences Faculty (FCM)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil/ Laboratory of Cellular Microbiology, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, RJ, Brazil
Laboratory of Immunopathology, Medical Sciences Faculty (FCM)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Laboratory of Immunopathology, Medical Sciences Faculty (FCM)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil
Laboratory of Immunopathology, Medical Sciences Faculty (FCM)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil/ Laboratory of Cellular Microbiology, Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, RJ, Brazil
Laboratory of Immunopathology, Medical Sciences Faculty (FCM)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Department of Pulmonary Care, Pedro Ernesto University Hospital (HUPE)-State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
Abstract
Pleural tuberculosis (PlTB) is the most common extrapulmonary manifestation of this infectious disease which still presents high mortality rates worldwide. Conventional diagnostic tests for PlTB register multiple limitations, including the lack of sensitivity of microbiological methods on pleural specimens and the need of invasive procedures such as pleural biopsy performance. In this scenario, the search for biological markers on pleural fluid (PF) has been the target of several studies as a strategy to overcome the limitations of PlTB diagnosis. This study aims to evaluate the use either isolated or in combination with adenosine deaminase (ADA), interferon-gamma (IFN-γ), interferon-gamma inducible protein of 10-kD (IP-10) levels on PF in order to guide an accurate anti-TB treatment in microbiologically non-confirmed cases.
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