Two cases with discrepancy in the quantitative cytological assessment of cerebrospinal fluid in neonatal samples using light microscopy in comparison with Sysmex XN-1000
Jazyk angličtina Země Chorvatsko Médium print-electronic
Typ dokumentu kazuistiky, srovnávací studie, časopisecké články
PubMed
38665873
PubMed Central
PMC11042561
DOI
10.11613/bm.2024.020802
PII: bm-34-2-020802
Knihovny.cz E-zdroje
- Klíčová slova
- biochemistry, cerebrospinal fluid, cytology, hematology, neonatology,
- MeSH
- leukocyty mononukleární patologie cytologie MeSH
- lidé MeSH
- mikroskopie * metody MeSH
- mozkomíšní mok cytologie MeSH
- neutrofily cytologie patologie MeSH
- novorozenec MeSH
- počet leukocytů MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- novorozenec MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- srovnávací studie MeSH
We present two cases from the neonatal department with cerebrospinal fluid examination. We revealed a striking discrepancy in polymorphonuclear (PMN) and mononuclear (MN) cell counts using conventional light microscopy in comparison with automated analyzer Sysmex XN-1000 (PMNs - 13 vs. 173x106/L, MNs - 200 vs. 67x106/L in case 1 and PMNs - 13 vs. 372x106/L, MNs - 411 vs. 179x106/L in case 2). We revealed the dominant presence of hemosiderophages in both cases in cytospin slide. Even though Sysmex XN-1000 offers fast examination with a low sample volume, there is possibility of misdiagnosis, with negative impact on the patient.
Zobrazit více v PubMed
Rahimi J, Woehrer A. Overview of cerebrospinal fluid cytology. Handb Clin Neurol. 2017;145:563–71. 10.1016/B978-0-12-802395-2.00035-3 PubMed DOI
Thaver D, Zaidi AKM. Burden of neonatal infections in developing countries: a review of evidence from community-based studies. Pediatr Infect Dis J. 2009;28:S3–9. 10.1097/INF.0b013e3181958755 PubMed DOI
Buoro S, Peruzzi B, Fanelli A, Seghezzi M, Manenti B, Lorubbio M, et al. Two-site evaluation of the diagnostic performance of the Sysmex XN Body Fluid (BF) module for cell count and differential in Cerebrospinal Fluid. Int J Lab Hematol. 2018;40:26–33. 10.1111/ijlh.12723 PubMed DOI
Fleming C, Russcher H, Lindemans J, de Jonge R. Clinical relevance and contemporary methods for counting blood cells in body fluids suspected of inflammatory disease. Clin Chem Lab Med. 2015;53:1689–706. 10.1515/cclm-2014-1247 PubMed DOI
Evren E, Us E, Hekimoğlu CH, Karahan ZC. Cell counting chamber vs. Sysmex XN-1000 for determining white blood cell count and differentiation for body fluids. Turk Biyokim Derg. 2023;48:19–25. 10.1515/tjb-2022-0179 DOI
De Smet D, Van Moer G, Martens GA, Nanos N, Smet L, Jochmans K, et al. Use of the Cell-Dyn Sapphire hematology analyzer for automated counting of blood cells in body fluids. Am J Clin Pathol. 2010;133:291–9. 10.1309/AJCPY7J7OLASZAPC PubMed DOI
Fleming C, Brouwer R, Lindemans J, de Jonge R. Validation of the body fluid module on the new Sysmex XN-1000 for counting blood cells in cerebrospinal fluid and other body fluids. Clin Chem Lab Med. 2012;50:1791–8. 10.1515/cclm-2011-0927 PubMed DOI
de Jonge R, Brouwer R, de Graaf MT, Luitwieler RL, Fleming C, de Frankrijker-Merkestijn M, et al. Evaluation of the new body fluid mode on the Sysmex XE-5000 for counting leukocytes and erythrocytes in cerebrospinal fluid and other body fluids. Clin Chem Lab Med. 2010;48:665–75. 10.1515/CCLM.2010.108 PubMed DOI