Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1995 Aug;59(2):175–177. doi: 10.1136/jnnp.59.2.175

Application of the polymerase chain reaction to monitor Mycobacterium tuberculosis DNA in the CSF of patients with tuberculous meningitis after antibiotic treatment.

J J Lin 1, H J Harn 1
PMCID: PMC485994  PMID: 7629533

Abstract

The polymerase chain reaction (PCR) was used to detect Mycobacterium tuberculosis DNA in 29 CSF specimens from seven patients with tuberculous meningitis after the start of antituberculous chemotherapy. Ten of the 13 CSF specimens taken from these patients with an initial treatment of three weeks were positive for the PCR study. By contrast, only one of the other 16 CSF specimens taken from patients treated for more than three weeks was positive. This study shows that M tuberculosis DNA can exist in the CSF of a patient with tuberculous meningitis for three weeks after treatment and that PCR can still be a sensitive method to detect M tuberculosis DNA in the CSF after the start of treatment in patients with tuberculous meningitis.

Full text

PDF
175

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brisson-Noel A., Aznar C., Chureau C., Nguyen S., Pierre C., Bartoli M., Bonete R., Pialoux G., Gicquel B., Garrigue G. Diagnosis of tuberculosis by DNA amplification in clinical practice evaluation. Lancet. 1991 Aug 10;338(8763):364–366. doi: 10.1016/0140-6736(91)90492-8. [DOI] [PubMed] [Google Scholar]
  2. Brisson-Noel A., Aznar C., Chureau C., Nguyen S., Pierre C., Bartoli M., Bonete R., Pialoux G., Gicquel B., Garrigue G. Diagnosis of tuberculosis by DNA amplification in clinical practice evaluation. Lancet. 1991 Aug 10;338(8763):364–366. doi: 10.1016/0140-6736(91)90492-8. [DOI] [PubMed] [Google Scholar]
  3. Brisson-Noël A., Gicquel B., Lecossier D., Lévy-Frébault V., Nassif X., Hance A. J. Rapid diagnosis of tuberculosis by amplification of mycobacterial DNA in clinical samples. Lancet. 1989 Nov 4;2(8671):1069–1071. doi: 10.1016/s0140-6736(89)91082-9. [DOI] [PubMed] [Google Scholar]
  4. Darnell R. B. The polymerase chain reaction: application to nervous system disease. Ann Neurol. 1993 Oct;34(4):513–523. doi: 10.1002/ana.410340404. [DOI] [PubMed] [Google Scholar]
  5. Donald P. R., Victor T. C., Jordaan A. M., Schoeman J. F., van Helden P. D. Polymerase chain reaction in the diagnosis of tuberculous meningitis. Scand J Infect Dis. 1993;25(5):613–617. doi: 10.3109/00365549309008550. [DOI] [PubMed] [Google Scholar]
  6. Dupouy-Camet J., de Souza S. L., Maslo C., Paugam A., Saimot A. G., Benarous R., Tourte-Schaefer C., Derouin F. Detection of Toxoplasma gondii in venous blood from AIDS patients by polymerase chain reaction. J Clin Microbiol. 1993 Jul;31(7):1866–1869. doi: 10.1128/jcm.31.7.1866-1869.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Folgueira L., Delgado R., Palenque E., Noriega A. R. Polymerase chain reaction for rapid diagnosis of tuberculous meningitis in AIDS patients. Neurology. 1994 Jul;44(7):1336–1338. doi: 10.1212/wnl.44.7.1336. [DOI] [PubMed] [Google Scholar]
  8. Hance A. J., Grandchamp B., Lévy-Frébault V., Lecossier D., Rauzier J., Bocart D., Gicquel B. Detection and identification of mycobacteria by amplification of mycobacterial DNA. Mol Microbiol. 1989 Jul;3(7):843–849. doi: 10.1111/j.1365-2958.1989.tb00233.x. [DOI] [PubMed] [Google Scholar]
  9. Kaneko K., Onodera O., Miyatake T., Tsuji S. Rapid diagnosis of tuberculous meningitis by polymerase chain reaction (PCR). Neurology. 1990 Oct;40(10):1617–1618. doi: 10.1212/wnl.40.10.1617. [DOI] [PubMed] [Google Scholar]
  10. Kennedy D. H., Fallon R. J. Tuberculous meningitis. JAMA. 1979 Jan 19;241(3):264–268. [PubMed] [Google Scholar]
  11. Lin J. J., Harn H. J., Hsu Y. D., Tsao W. L., Lee H. S., Lee W. H. Rapid diagnosis of tuberculous meningitis by polymerase chain reaction assay of cerebrospinal fluid. J Neurol. 1995 Feb;242(3):147–152. doi: 10.1007/BF00936887. [DOI] [PubMed] [Google Scholar]
  12. Liu P. Y., Shi Z. Y., Lau Y. J., Hu B. S. Rapid diagnosis of tuberculous meningitis by a simplified nested amplification protocol. Neurology. 1994 Jun;44(6):1161–1164. doi: 10.1212/wnl.44.6.1161. [DOI] [PubMed] [Google Scholar]
  13. Miyazaki Y., Koga H., Kohno S., Kaku M. Nested polymerase chain reaction for detection of Mycobacterium tuberculosis in clinical samples. J Clin Microbiol. 1993 Aug;31(8):2228–2232. doi: 10.1128/jcm.31.8.2228-2232.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Narita M., Matsuzono Y., Shibata M., Togashi T. Nested amplification protocol for the detection of Mycobacterium tuberculosis. Acta Paediatr. 1992 Dec;81(12):997–1001. doi: 10.1111/j.1651-2227.1992.tb12162.x. [DOI] [PubMed] [Google Scholar]
  15. Noordhoek G. T., Wolters E. C., de Jonge M. E., van Embden J. D. Detection by polymerase chain reaction of Treponema pallidum DNA in cerebrospinal fluid from neurosyphilis patients before and after antibiotic treatment. J Clin Microbiol. 1991 Sep;29(9):1976–1984. doi: 10.1128/jcm.29.9.1976-1984.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Ostergaard L., Nielsen A. K., Black F. T. DNA amplification on cerebrospinal fluid for diagnosis of cerebral toxoplasmosis among HIV-positive patients with signs or symptoms of neurological disease. Scand J Infect Dis. 1993;25(2):227–237. doi: 10.3109/00365549309008489. [DOI] [PubMed] [Google Scholar]
  17. Shankar P., Manjunath N., Mohan K. K., Prasad K., Behari M., Shriniwas, Ahuja G. K. Rapid diagnosis of tuberculous meningitis by polymerase chain reaction. Lancet. 1991 Jan 5;337(8732):5–7. doi: 10.1016/0140-6736(91)93328-7. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES