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ORIGINAL RESEARCH article

Front. Cell. Infect. Microbiol.
Sec. Clinical Infectious Diseases
Volume 14 - 2024 | doi: 10.3389/fcimb.2024.1497082

Lateral flow assay as radiological prognosis factor of pulmonary cryptococcosis: A single center retrospective study in China

Provisionally accepted
Jiejun Shi Jiejun Shi *Jianhua Chen Jianhua Chen Qianjiang Ding Qianjiang Ding Qifa Song Qifa Song *Guoqing Qian Guoqing Qian *
  • Ningbo First Hospital, Ningbo, China

The final, formatted version of the article will be published soon.

    Background: Lateral flow assay (LFA) has demonstratedshowed high sensitivity and specificity for diagnosing cryptococcosis. However, its role in predictivepredicting value for the therapeutic efficacy offor pulmonary cryptococcosis (PC) remainswas rarely reportedunderexplored.We conducted a retrospective analysis ofon HIV-negative patientsPC with PC to presentdescribe the clinical profile and identify the potential predictors offor radiological prognosis.Results: All the 168 participants received antifungal therapy with a triazole agent. Of these, 84.5% experienced partial or complete absorption of pulmonary lesions. The results of the gamma test, chisquare trend test, and ordinal logistic regression all indicated that both baseline LFA and changes in LFA after treatment were significant both predictors of imaging prognosis. The degree of radiological improvement showed was inverselya downward trend associated with as the baseline LFA positive grade increased (P for linear-by-linear association: 0.011, Spearman correlation coefficient = -0.17; γ= -0.368, P = 0.045). Patients who experiencedwith a decrease in LFA after therapy had a significantly better radiological outcomesprognosis compared to than those with equal or increased LFA (linear-by-linear association, P = 0.014, Spearman correlation coefficient = 0.188; γ = 0.371, P = 0.012).Moreover,Additionally, favorable outcomes were more likely in casespatients with lesions restrictedconfined toin the right lung.Conclusions: LFA has shows the potential toof monitoring radiological outcomes in of PCpulmonary cryptococcosis.

    Keywords: Pulmonary cryptococcosis, Lateral flow assay, therapeutic efficacy, radiological prognosis, Lesion distribution, HIV-negative

    Received: 16 Sep 2024; Accepted: 18 Dec 2024.

    Copyright: © 2024 Shi, Chen, Ding, Song and Qian. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jiejun Shi, Ningbo First Hospital, Ningbo, China
    Qifa Song, Ningbo First Hospital, Ningbo, China
    Guoqing Qian, Ningbo First Hospital, Ningbo, China

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