Application of PCR in serum samples for diagnosis of paracoccidioidomycosis in the southern Bahia-Brazil

PLoS Negl Trop Dis. 2012;6(11):e1909. doi: 10.1371/journal.pntd.0001909. Epub 2012 Nov 29.

Abstract

Paracoccidioidomycosis (PCM) cannot always be diagnosed by conventional means such as direct examination of histopathology or clinical samples, and serological methods, used as an alternative, still have many cases of cross-reactivity. In this scenario, molecular techniques seem to arise as a rapid approach, specific and direct that could be used in the diagnosis of this mycosis. In this study we analyzed 76 serum samples from patients in southern Bahia suspected of having paracoccidioidomycosis using a conventional PCR with primers for the ITS1 ribosomal DNA of P. brasiliensis. Of these 76 patients, 5 were positive for PCM by double immunodiffusion and/or direct examination and histopathology. To test specificity of PCR, we used human DNA and three isolates of P. lutzii (1578, 01 and ED01). Additionally, we analyzed by serial dilutions of DNA the limit of detection of the assay. The test of PCR proved specific, as only a 144 bp fragment of the three isolates of P. lutzii and no human DNA was amplified. Detection limit was 1.1 pg/µL of DNA. Despite the high detection limit and specificity of PCR none of the 76 serum samples were found positive by PCR, but a biopsy specimen obtained from one of the patients with PCM was positive. These results, albeit limited, show that PCR is not effective in detecting DNA of P. brasiliensis or P. lutzii in serum, but could perhaps be used with other types of clinical samples, especially in those instances in which conventional methods fail.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil
  • DNA Primers / genetics
  • DNA, Fungal / genetics
  • DNA, Ribosomal / genetics
  • Humans
  • Molecular Diagnostic Techniques / methods*
  • Mycology / methods*
  • Paracoccidioides / isolation & purification*
  • Paracoccidioidomycosis / diagnosis*
  • Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity
  • Serum / microbiology*

Substances

  • DNA Primers
  • DNA, Fungal
  • DNA, Ribosomal

Grants and funding

The project was funded by the Coordination of Improvement of Higher Education Personnel (CAPES), http://www.capes.gov.br/. The Research Foundation of the State of Bahia (Fapesb), http://www.fapesb.ba.gov.br/, was responsible for providing scholarship to one of the researchers. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.