Dj. Isaacman et al., IDENTIFICATION OF A PATIENT WITH STREPTOCOCCUS-PNEUMONIAE BACTEREMIA AND MENINGITIS BY THE POLYMERASE CHAIN-REACTION (PCR), Molecular and cellular probes, 9(3), 1995, pp. 157-160
A polymerase chain reaction (PCR) assay based on the penicillin-bindin
g protein gene PBP2B identified the presence of DNA specific for Strep
tococcus pneumoniae in the serum and CSF of a patient with culture-pro
ven bacteremia and meningitis. Positive signals were seen to dilutions
of 1:125 and 1:390,625 for the blood and CSF specimens, respectively.
Potential advantages of PCR over conventional culture include exquisi
te sensitivity, faster results and the ability to identify the organis
ms by the presence of species-specific DNA even in patients pretreated
with antibiotics.