Multiple myeloma as a major cause of false-positive galactomannan tests in adult patients with cancer

J Infect. 2016 Feb;72(2):233-9. doi: 10.1016/j.jinf.2015.10.014. Epub 2015 Nov 26.

Abstract

Objectives: The galactomannan (GM) test is a useful method for early diagnosis of invasive aspergillosis. Recently, multiple myeloma has newly been suggested to be related to false-positive results of GM. We performed a case-control study to validate this finding.

Methods: Electronic medical records were reviewed for patients admitted March through June 2014. Patients with false-positive GM results were selected as cases and those with negatives as controls. To verify the results of the four-month analysis, additional analysis was performed in multiple myeloma patients over a three-year period.

Results: There were 30 false-positive and 316 negative cases during the four-month period. Among the factors evaluated, multiple myeloma was the only significant factor in the adjusted analysis (OR = 3.59, CI 1.28-10.04). In the three-year analysis of 145 multiple myeloma patients, 25.5% showed false-positive results, which was 3 times higher than overall. GM false-positivity was not related to serum monoclonal protein level or type of immunoglobulin. GM optical density indexes (ODIs) in all false positives were lower than 3.0.

Conclusions: Multiple myeloma was a major cause of GM false-positivity in adult cancer patients. GM was false-positive in 25.5% of multiple myeloma patients with GM ODIs lower than 3.0.

Keywords: Adult; Cancer; False positive; Galactomannan; Multiple myeloma.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • False Positive Reactions*
  • Female
  • Galactose / analogs & derivatives
  • Humans
  • Invasive Pulmonary Aspergillosis / diagnosis*
  • Male
  • Mannans / blood*
  • Middle Aged
  • Multiple Myeloma / pathology*
  • Young Adult

Substances

  • Mannans
  • galactomannan
  • Galactose