Journal article // eJournal Kedokteran Indonesia






Deteksi Antigen pada Kriptokokosis
August 28, 2014  //  DOI: 10.23886/ejki.2.4511.
Robiatul Adawiyah, Ridhawati Syam

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Deteksi Antigen pada Kriptokokosis Image
Abstract

Cryptococcosis is systemic infection that caused by Cryptococcus sp. Predilection of this fungi is the central nervous system and brain membrane. There are 5 species of Cryptococcus sp. that cause  cryptococcosis  in  human;  but  the  majority  are  caused  by  Cr.  neoformans  and  Cr.  gattii. The diagnosis of cryptococcosis is made based on clinical symptoms, laboratory and radiological PCR. Morphological examination with India ink is positive when the number of fungi is around 10 10 cells/ml. Cultur examination is performed in Sabouraud dextrose agar (SDA) and Niger sheed agar (NSA) medium, fungi grows in 5­7 days. Antigen and antibody detection could be performed on result in acute infection, IgA still positive after 1­2 years of healing phase and IgG can be persistent. The immunocompromised person showed very complex result and inconsistent in determining the diagnosis. Polysaccharides are the most instrumental component in Cr. neoformans virulence. The component of Polysaccharide especially glucuronoxylomannan is the most important marker in the diagnosis of cryptococcosis. Antigen detection of Cr. neoformans can show positive result in acute/ 

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