The value of calcofluor white in the diagnosis of invasive fungal diseases. 2024

Shuya Zhang, and Zhongbo Chen, and Zaichun Deng, and Panfeng Fu, and Yiming Yu, and Qidong Zhuang, and Xuechan Yu, and Hui Chen, and Anqi Li, and Lin Zheng
Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China.

OBJECTIVE To evaluate the value of calcofluor white in the diagnosis of invasive fungal disease (IFD). METHODS A total of 84 patients with possible pulmonary fungal infection who underwent bronchoscopy with bronchoalveolar lavage fluid (BALF) were included. All BALF specimens were subjected to Calcofluor white (CFW), potassium hydroxide (KOH) and Gram stains. RESULTS CFW has the most sensitivity than KOH and Gram staining. The specificity of CFW was 92.00 %, which was lower than that of Gram staining. The PPVs for CFW, KOH and Gram staining were 94.44 %, 84.62 % and 80.00 % respectively. The NPVs for CFW, KOH and Gram staining was 47.92 %, 32.39 % and 30.38 % respectively. The AUCs of these three methods were 0.748, 0.550 and 0.510 respectively. CONCLUSIONS CFW is superior to KOH and Gram staining in the diagnosis of invasive fungal diseases.

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