Sensitivity and Specificity of a Blood and Urine Galactomannan Antigen Assay for Diagnosis of Systemic Aspergillosis in Dogs

R. S. Garcia, L. J. Wheat, A. K. Cook, E. J. Kirsch, Jane E Sykes

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Background: Diagnosis of canine systemic aspergillosis requires fungal culture from a sterile site, or confirmatory histopathology from a nonsterile site. Invasive specimen collection techniques may be necessary. Objective: To evaluate the sensitivity and specificity of a serum and urine Aspergillus galactomannan antigen (GMA) ELISA assay for diagnosis of systemic aspergillosis in dogs. Design: Multicenter study. Animals: Thirteen dogs with systemic aspergillosis and 89 dogs with other diseases. Thirty-seven of the 89 dogs had signs that resembled those of systemic aspergillosis and 52 dogs were not suspected to have aspergillosis. Procedure: The GMA ELISA was performed on serum specimens from all dogs and urine specimens from 67 dogs. Galactomannan indices (GMI) ≥ 0.5 were considered positive. Results for dogs in each group were compared. Results and Conclusions: The sensitivity and specificity of the assay for serum were 92 and 86%, respectively, and for urine were 88 and 92%, respectively. False negatives were seen only in dogs with localized pulmonary aspergillosis. Use of a cutoff GMI of 1.5 increased specificity to 93% for both serum and urine without loss of sensitivity for diagnosis of disseminated infection. High-level false positives (> 1.5) occurred in dogs with other systemic mycoses and those treated with Plasmalyte. Clinical Relevance: Serum and urine Aspergillus GMA ELISA is a noninvasive, sensitive, and specific test for the diagnosis of disseminated aspergillosis in dogs when a cutoff GMI of ≥ 1.5 is used.

Original languageEnglish (US)
Pages (from-to)911-919
Number of pages9
JournalJournal of Veterinary Internal Medicine
Volume26
Issue number4
DOIs
StatePublished - Jul 2012

Keywords

  • Aspergillus
  • Epidemiology
  • Fungal
  • Infectious diseases
  • Microbiology
  • Mycology-general

ASJC Scopus subject areas

  • veterinary(all)

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