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Nitroblue tetrazolium test - positive, turns blue. negative, stays yellow = what's the diagnosis?

User ESI
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Final answer:

A positive NBT test, which turns blue, suggests normal neutrophil function, while a negative test indicates a potential defect such as in Chronic Granulomatous Disease. Other tests like nitrate reduction and oxidase contribute to identifying microbial pathogens.

Step-by-step explanation:

The Nitroblue Tetrazolium (NBT) test is a diagnostic tool used to assess the function of neutrophils, specifically their ability to reduce NBT to a blue formazan product. A positive NBT test, indicated by the color change to blue, suggests that neutrophils can produce reactive oxygen species necessary for bacterial killing, which is a normal function. On the other hand, a negative test, where the color stays yellow, indicates a potential defect in the oxidative burst of neutrophils, which is seen in conditions like Chronic Granulomatous Disease (CGD). Other tests mentioned, such as the nitrate reduction test, oxidase test, or tests for metabolic activities such as urease activity, also provide information about the physiological processes and metabolic characteristics of different bacteria, which are critical in the identification and understanding of microbial pathogens.

User Jelmergu
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