Diagnosis of fungal
infection in lung parenchyma is relatively
difficult. Bronchoscopy with bronchoalveolar lavage is very useful
in its diagnosing. Therefore, a method for rapid online concentration
and analysis of Aspergillus conidia in bronchoalveolar
lavage fluid using the combination of transient isotachophoresis (tITP)
and micellar electrokinetic chromatography (MEKC) with subsequent
off-line identification of the separated conidia by matrix-assisted
laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF
MS) is described in this study. In the proposed procedure, conidia
were first dynamically adhered onto the roughened part of the inner
surface of a fused silica capillary prepared by etching with supercritical
water. Then the adhered conidia were desorbed, concentrated, and separated
using a combination of tITP and MEKC. Finally, the fractions containing
the separated conidia were collected from the capillary and analyzed
by MALDI-TOF MS. The adhesion efficiency under the optimized experimental
conditions was about 80%. This rapid diagnosis will contribute to
timely initiation of therapy and increase the patient’s chances
of survival.