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. 2019 Sep;7(18):437. doi: 10.21037/atm.2019.08.103

Table 5. Discrepant investigation for samples with discordant results.

Patient FA ME detection CSF culture Target PCR assay Additional analysis or supplemental testing Clinical diagnosis from medical records Final resolution of FA ME result
1 Negativea E. coli E. coli Blood culture = E. coli Bacterial meningitis False negative
2 Negative E. coli Negative Blood culture = E. coli Bacterial meningitis True negative
3 E. coli K1 Negative E. coli Blood culture = E. coli Bacterial meningitis True positive
4 E. coli K1 Negative E. coli Blood culture = negative Bacterial meningitis True positive
5 E. coli K1 Negative Negative Blood culture = S. agalactiae Septicemia False positive
6 E. coli K1 Negative E. coli Blood culture = E. coli Bacterial meningitis True positive
7 E. coli K1 Negative E. coli Blood culture = E. coli Bacterial meningitis True positive
8 S. agalactiae Negative Negative Blood culture = negative Bacterial meningitis False positive
9 S. agalactiae Negative S. agalactiae Blood culture = negative Bacterial meningitis True positive
10 S. agalactiae Negative S. agalactiae Blood culture = S. haemolyticus Bacterial meningitis True positive
11 S. pneumoniae Negative Negative S. pneumoniae antibody = positive Bacterial meningitis False positive
12 S. pneumoniae Negative S. pneumoniae S. pneumoniae antibody = positive Bacterial meningitis True positive
13 S. pneumoniae Negative S. pneumoniae Blood culture = negative Bacterial meningitis True positive
14 S. pneumoniae Negative S. pneumoniae Blood culture = negative Bacterial meningitis True positive
15 Negative S. pneumoniae Negative S. pneumoniae antibody = positive Bacterial meningitis True negative
16 L. monocytogenes Negative L. monocytoge Blood culture = L. monocytoge CNS infectious True positive
17 Negative H. influenzae Negative Blood culture = negative Bacterial meningitis True negative
18 N. meningitidis Negative N. meningitidis Blood culture = negative Bacterial meningitis True positive
19 Cr. neoformans/C. gattii Negative Cr. Neoformans/C.gattii Blood culture = negative Cryptococcal meningoencephalitis True positive

a, for E. coli, only the K1 capsular type is detected by the FilmArray ME panel.