The detection of Aspergillus antibody has a key role in the diagnosis of chronic pulmonary aspergillosis. Western blot (WB) and immunochromatography (ICT) lateral flow detection of Aspergillus antibody can be used as confirmatory and screening assays but their comparative performance in TB patients is not known. This study investigated the performance of these assays among 88 post-tuberculosis patients with suspected CPA. Sensitivity, specificity, receiver operating curve (ROC), area under-curve (AUC) and the agreement between two assays were evaluated. Both WB and ICT showed good sensitivity (80% and 85%, respectively) for detection of Aspergillus antibodies. Substantial agreement (0.716) between these assays was also obtained. The highest AUC result (0.804) was achieved with the combination of WB and ICT. The global intensity of WB correlated with the severity of symptoms in CPA group (p = 0.001). The combination of WB and ICT may increase specificity in CPA diagnosis.
Trichomonas vaginalis is a flagellated protozoan parasite that causes trichomoniasis. Trichomoniasis is a non-viral sexually transmitted infection and is found in the human urogenital tract. The interaction between T. vaginalis with the host is very complex and many factors influence the pathogenicity of T. vaginalis. To determine the factors that influence the pathogenicity of Trichomonas vaginalis. Literature review using the Google Scholar database. The search results for articles matched the criteria with the keyword "pathogenicity of Trichomonas vaginalis". Pathogenicity factors include changes in the trophozoite Trichomonas vaginalis to an ameboid form, cellular pathogenicity (attachment of Trichomonas vaginalis to host cells, cytotoxic and hemolytic activity, phagocytosis), interactions with vaginal flora, symbiont contribution with Trichomonas vaginalis, recognition by the host immune system, and evasion host immune system. Pathogenicity factors include changes in the trophozoite Trichomonas vaginalis to an ameboid form, cellular pathogenicity (attachment of Trichomonas vaginalis to host cells, cytotoxic and hemolytic activity, phagocytosis), interactions with vaginal flora, symbiont contribution with Trichomonas vaginalis, recognition by the host immune system, and evasion host immune system.
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