TABLE 5.
Analysis of 15 specimens from 13 patients culture positive for M. tuberculosis and negative for COBAS AMPLICOR MTB
Type of specimen | Clinical groupa | Smear result | No. of days to positive cultureb | Comments | Final interpretation of PCR result |
---|---|---|---|---|---|
Bronchoalveolar lavage | 4 | Negative | 22 (B) | On treatment for 14 wk, 2 of 3 specimens PCR positive | False negative |
4 | Negative | 22 (B) | Previously treated for TB 2 yr ago, clinical signs of reactivated disease, subsequent specimens PCR positive | False negative | |
Sputum | 4 | Positive | 35 (B) | On treatment for 4 wk, active TB | False negative |
4 | Negative | 20 (B) | On treatment for 12 wk, active TB | False negative | |
1 | Negative | 32 (B) | No evidence of TB, presence of MOTT excluded, possible culture contamination, subsequent specimens culture negative | True negative | |
4 | Negative | 14 (B) | On treatment for 12 wk, clinical data unavailable | False negative | |
4 | Negative | 18 (B) | On treatment for 3 wk, radiological and clinical signs of active TB | False negative | |
4 | Negative | 30 (ESP) | Previously treated for TB 3 yr ago, human immunodeficiency virus positive, clinical signs of active TB | False negative | |
4 | Positive | 45 (B) | On treatment for 8 wk, active TB | False negative | |
Ascitic fluid | 4 | Negative | 24 (B) | On treatment for 16 wk, severe lung disease | False negative |
Aspirate | 4 | Negative | 21 (B) | On treatment for 9 wk, clinical signs of active TB | False negative |
Blood | 4 | Negative | 35 (B) | On treatment for 14 wk, subsequent specimens PCR positive | False negative |
Cerebrospinal fluid | 4 | Negative | 7 (Ki) | Clinical data unavailable | False negative |
Pleural exudate | 1 | Negative | 33 (B) | No evidence of TB, APr negativec, presence of MOTT suspected, subsequent cultures negative | True negative |
Wound swab | 4 | Negative | 26 (B) | Skin TB, two consecutive specimens culture positive | False negative |
The clinical classification is given in Table 1. Four culture-positive stool specimens and one pleural exudate which showed an inhibition in the PCR assay are not listed.
B, BACTEC; Ki, Kirchner medium; ESP, ESP Myco II medium.
APr, Accuprobe M. tuberculosis test (Gen-Probe, Inc., San Diego, Calif.).