TABLE 4.
Summary of clinical and laboratory data of cases showing false-positive results in PCR and/or latex agglutination tests by using strict criteria
Patient no. | Final diagnosis | Sex, age (yr) | Prior antibiotic therapy | Diagnostic method | Sputum Gram staina | LAb | PCR |
---|---|---|---|---|---|---|---|
1 | C. pneumoniae infection | Male, 79 | Oral amoxicillin | IgM (+) and high IgG titers | MOF | ND | + |
2 | E. coli infection | Male, 84 | No | TNA culture | ND | − | + |
3 | Aspiration pneumonia | Male, 83 | No | TNA and blood culture | ND | − | + |
4 | C. pneumoniae infection | Male, 72 | No | IgM (+) and high IgA titers | ND | + | − |
5 | C. pneumoniae infection | Male, 59 | Intramuscular penicillin-procaine | Seroconversion | ND | + | − |
6c | C. pneumoniae infection | Male, 63 | Oral roxithromycin | IgM (+) and high IgG titers | GPDC | + | − |
7c | Pneumonia of unknown etiology | Male, 66 | No | SR | + | + | |
8c | Pneumonia of unknown etiology | Male, 39 | No | ND | + | + | |
9c | Pneumonia of unknown etiology | Male, 77 | Oral ciprofloxacin | GPDC | ND | + | |
10c | Pneumonia of unknown etiology | Male, 79 | No | GPDC | − | + | |
11c | Pneumonia of unknown etiology | Male, 76 | No | GPDC | − | + | |
12 | Pneumonia of unknown etiology | Male, 71 | Oral erythromycin | ND | − | + | |
13 | Pneumonia of unknown etiology | Male, 66 | No | ND | − | + | |
14 | Pneumonia of unknown etiology | Female, 84 | No | ND | − | + | |
15 | Pneumonia of unknown etiology | Male, 25 | Oral amoxicillin | SR | + | − | |
16 | Pneumonia of unknown etiology | Male, 59 | No | SR | + | − |
MOF, mixed oral flora; ND, not done; SR, specimen rejected because of poor quality; GPDC, gram-positive diplococci.
LA, latex agglutination.
Cases considered as true positive in the analysis with the expanded criteria.