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Aspergillus Galactomannan Titer as a Diagnostic Marker of Invasive Pulmonary Aspergillosis in Lung Transplant Recipients: A Single-Center Retrospective Cohort Study

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dc.contributor.author김송이-
dc.contributor.author김영삼-
dc.contributor.author김은영-
dc.contributor.author김하은-
dc.contributor.author박무석-
dc.contributor.author박영목-
dc.contributor.author백효채-
dc.contributor.author용승현-
dc.contributor.author우아라-
dc.contributor.author이진구-
dc.contributor.author정수진-
dc.contributor.author성민동-
dc.date.accessioned2023-05-31T05:43:25Z-
dc.date.available2023-05-31T05:43:25Z-
dc.date.issued2023-04-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/194265-
dc.description.abstractInvasive pulmonary aspergillosis (IPA) can occur in immunocompromised patients, and an early detection and intensive treatment are crucial. We sought to determine the potential of Aspergillus galactomannan antigen titer (AGT) in serum and bronchoalveolar lavage fluid (BALF) and serum titers of beta-D-glucan (BDG) to predict IPA in lung transplantation recipients, as opposed to pneumonia unrelated to IPA. We retrospectively reviewed the medical records of 192 lung transplant recipients. Overall, 26 recipients had been diagnosed with proven IPA, 40 recipients with probable IPA, and 75 recipients with pneumonia unrelated to IPA. We analyzed AGT levels in IPA and non-IPA pneumonia patients and used ROC curves to determine the diagnostic cutoff value. The Serum AGT cutoff value was 0.560 (index level), with a sensitivity of 50%, specificity of 91%, and AUC of 0.724, and the BALF AGT cutoff value was 0.600, with a sensitivity of 85%, specificity of 85%, and AUC of 0.895. Revised EORTC suggests a diagnostic cutoff value of 1.0 in both serum and BALF AGT when IPA is highly suspicious. In our group, serum AGT of 1.0 showed a sensitivity of 27% and a specificity of 97%, and BALF AGT of 1.0 showed a sensitivity of 60% and a specificity of 95%. The result suggested that a lower cutoff could be beneficial in the lung transplant group. In multivariable analysis, serum and BALF AGT, with a minimal correlation between the two, showed a correlation with a history of diabetes mellitus.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherMDPI-
dc.relation.isPartOfJOURNAL OF FUNGI-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleAspergillus Galactomannan Titer as a Diagnostic Marker of Invasive Pulmonary Aspergillosis in Lung Transplant Recipients: A Single-Center Retrospective Cohort Study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorEun-Young Kim-
dc.contributor.googleauthorSeung-Hyun Yong-
dc.contributor.googleauthorMin-Dong Sung-
dc.contributor.googleauthorA-La Woo-
dc.contributor.googleauthorYoung-Mok Park-
dc.contributor.googleauthorHa-Eun Kim-
dc.contributor.googleauthorSu-Jin Jung-
dc.contributor.googleauthorSong-Yee Kim-
dc.contributor.googleauthorJin-Gu Lee-
dc.contributor.googleauthorYoung-Sam Kim-
dc.contributor.googleauthorHyo-Chae Paik-
dc.contributor.googleauthorMoo-Suk Park-
dc.identifier.doi10.3390/jof9050527-
dc.contributor.localIdA00626-
dc.contributor.localIdA00707-
dc.contributor.localIdA00811-
dc.contributor.localIdA06134-
dc.contributor.localIdA01457-
dc.contributor.localIdA05828-
dc.contributor.localIdA01846-
dc.contributor.localIdA06000-
dc.contributor.localIdA06223-
dc.contributor.localIdA03225-
dc.contributor.localIdA03638-
dc.relation.journalcodeJ04005-
dc.identifier.eissn2309-608X-
dc.identifier.pmid37233238-
dc.subject.keywordAspergillus galactomannan antigen-
dc.subject.keywordinvasive pulmonary aspergillosis-
dc.subject.keywordlung transplantation-
dc.contributor.alternativeNameKim, Song Yee-
dc.contributor.affiliatedAuthor김송이-
dc.contributor.affiliatedAuthor김영삼-
dc.contributor.affiliatedAuthor김은영-
dc.contributor.affiliatedAuthor김하은-
dc.contributor.affiliatedAuthor박무석-
dc.contributor.affiliatedAuthor박영목-
dc.contributor.affiliatedAuthor백효채-
dc.contributor.affiliatedAuthor용승현-
dc.contributor.affiliatedAuthor우아라-
dc.contributor.affiliatedAuthor이진구-
dc.contributor.affiliatedAuthor정수진-
dc.citation.volume9-
dc.citation.number5-
dc.citation.startPage527-
dc.identifier.bibliographicCitationJOURNAL OF FUNGI, Vol.9(5) : 527, 2023-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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