key: cord-0941099-5eg4can0 authors: Garin, Daniel; Cuillerier, Benoît; Dauendorffer, Jean-Noël; Crance, Jean-Marc; Lina, Bruno; Lozniewski, Alain; Da Conceição, Emmanuel; Jaulhac, Benoît; DeBriel, Dominique André title: Diagnostic moléculaire en pathologie infectieuse: intérêt d'un diagnostic multiplex dans les pneumopathies atypiques date: 1999-09-30 journal: Revue Française des Laboratoires DOI: 10.1016/s0338-9898(99)80484-3 sha: a7e94e99d98a505c4432b1193a2ff152a9d916fd doc_id: 941099 cord_uid: 5eg4can0 Résumé Parmi les pathogènes responsables de pneumopathies atypiques, Mycoplasma pneumoniae, Chlamydia pneumoniae, et Legionella pneumophila sont trois bactéries fréquentes pour lesquelles un diagnostic étiologique rapide est difficile à obtenir. L'amplification génique in vitro offre une possibilité de rendu de résultats dans la journée, mais souvent au détriment d'un temps de réalisation important du fait du manque d'automatisation. Cet inconvénient est réduit en cas d'utilisation de techniques d'amplification génique multiplex, dont un exemple de réalisation est présenté dans cet article. Abstract Among frequent potential respiratory pathogens, Mycoplasma pneumoniæ, Chlamydia pneumoniæ, and Legionella pneumophila are difficult to isolate with usual laboratory techniques (culture, serologic tests). Adapted molecular biology tools are able to amplify a specific genomic target and allow the diagnosis the same day, but with a very time consuming process. The proposed technique allows the diagnosis of the three bacteriaes in a few hours time using a multiplex single-tube polymerase chain reaction. Un exemple de gel de la multiplex, ainsi que quelques exemples d'in- L'intBr6t que reprbsente le diagnostic des u pneumopathies atypiques * d'origine bactbrienne devrait entrainer rapidement la commercialisation de kits sp&cifiques. Detection of M. pneumoniae and M. genifaliom in clinical samples by polymerase chain reaction Detection of human M. pneumoniae by using the polymerase chain reaction Detection of C. pneomoniae by polymerase chain reaction Clinical overview of typical M. pneumoniae infections Confirmed previous infection with C. pneumoniae (TWAR) and its presence in early coronary atherosclerosis Comparaison of PCR, culture, and serological tests for diagnoses of M. pneumoniae respiratory tract infection in children DNA sequence of MIP, a L. pneumophila gene associated with macrophage infectivity Identification of C. pneumoniae by DNA amplification of the 16s rRNA gene A new C. psittaci strain, TWAR, isolated in acute respiratory tract infections Community and hospital acquired pneumonia associated with Chlamydia TWAR infection demonstrated serologically pneumoniae (TWAR) infections in children Rapid identiftiion of nine micro-organisms causing acute respiratory tract infections by single-tube multiplex reverse transcription-PCR: feasibility study Use of multiplex PCR for simultaneous detection of four bacterial species in middle ear effusions Prevalence of asymptomatic nasopharyngeal carriage of C. pneumortiae in subjectively healthy adults: assessment by polymerase chain reaction, enzyme immunoassay and culture Serological diagnosis of M. pneumoniae infections : a critical review of current procedures Revue Franc&e des Labor&ire& septembre 1999 Les auteurs remercient Nathalie Dorchain,