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.