Deteksi Antigen pada Kriptokokosis

Cryptococcosis is systemic infection that caused by Cryptococcus sp. Predilection of this fungi is the central nervous system and brain membrane. There are 5 species of Cryptococcus sp. that cause cryptococcosis in human; but the majority are caused by Cr. neoformans and Cr. gattii. The diagnosis of cryptococcosis is made based on clinical symptoms, laboratory and radiologicalexaminations. Laboratory examinations performed by morphological identification, serology and PCR. Morphological examination with India ink is positive when the number of fungi is around 10 10 cells/ml. Cultur examination is performed in Sabouraud dextrose agar (SDA) and niger sheed agar (NSA) medium, fungi grows in 5-7 days. Antigen and antibody detection could be performed on body fluid and do not take a long time. Detection of Cr. neoformans antibody can not show positive result in acute infection, IgA still positive after 1-2 years of healing phase and IgG can be persistent. The immunocompromised person showed very complex result and inconsistent in determining the diagnosis. Polysaccharides are the most instrumental component in Cr. neoformans virulence. The component of Polysaccharide especially glucuronoxylomannan is the most important marker in thediagnosis of cryptococcosis. Antigen detection of Cr. neoformans can show positive result in acute/chronic infection, high sensitivity and specificity. Polysaccharides can be detected from 10 ng/ ml of body fluid, so in minimal level of antigen we still can diagnose cryptococcosis