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.