Persistence of a positive (1,3)-beta-D-glucan test after clearance of candidemia in hematopoietic stem cell transplant recipients

Clin Vaccine Immunol. 2011 Mar;18(3):518-9. doi: 10.1128/CVI.00513-10. Epub 2011 Jan 19.

Abstract

In 6 hematopoietic stem cell transplant (HSCT) recipients with candidemia, the (1,3)-β-d-glucan (BG) test was positive a median of 2.5 days after a positive blood culture. Only in 1 patient did BG positivity precede positive blood cultures. BG concentrations decreased in patients with clinical response, but positive BG results persisted long after blood cultures became sterile (median, 48 days).

MeSH terms

  • Adult
  • Biomarkers / blood*
  • Candida / isolation & purification
  • Candidemia / diagnosis*
  • Candidemia / drug therapy*
  • Female
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Male
  • Middle Aged
  • Proteoglycans
  • Time Factors
  • beta-Glucans / blood*

Substances

  • Biomarkers
  • Proteoglycans
  • beta-Glucans
  • polysaccharide-K