False-positive Xpert® MTB/RIF assays in previously treated patients: need for caution in interpreting results
- PMID: 24902569
- DOI: 10.5588/ijtld.13.0853
False-positive Xpert® MTB/RIF assays in previously treated patients: need for caution in interpreting results
Abstract
Xpert(®) MTB/RIF is the initial diagnostic test of choice for tuberculosis (TB). It is not known if false-positive results are more common in previously treated patients. We report four patients with successful treatment for TB up to 5 years previously who presented with respiratory tract infection and were Xpert-positive, but had negative TB cultures and clinical improvement without anti-tuberculosis treatment. We hypothesise that the Xpert results were false-positive due to the presence of dead Mycobacterium tuberculosis bacilli in lungs and sputum. Further work is required to determine the specificity of Xpert in previously treated patients.
Comment in
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In reply to 'False-positive Xpert® MTB/RIF assays in previously treated patients'.Int J Tuberc Lung Dis. 2015 Mar;19(3):366-7. doi: 10.5588/ijtld.14.0800. Int J Tuberc Lung Dis. 2015. PMID: 25686149 No abstract available.
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False-positive Xpert(®) MTB/RIF assays and previous treatment.Int J Tuberc Lung Dis. 2015 Apr;19(4):495-6. doi: 10.5588/ijtld.14.0800-2. Int J Tuberc Lung Dis. 2015. PMID: 25860011 No abstract available.
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False-positive Xpert(®) MTB/RIF more than seven years after cure.Int J Tuberc Lung Dis. 2015 Oct;19(10):1264-5. doi: 10.5588/ijtld.15.0419. Int J Tuberc Lung Dis. 2015. PMID: 26459550 No abstract available.
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