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[Diagnosis and course of patients with HIV infections and exclusion of Pneumocystis carinii pneumonia].
Dtsch Med Wochenschr. 1992 Jul 03; 117(27):1052-6.DM

Abstract

30 patients infected with HIV (20 men, 10 women; mean age 34 [26-54] years), suspected of having Pneumocystis carinii (Pc) pneumonia, had undergone bronchoalveolar lavage which proved negative for Pc. They were then kept under observation for 5 months. No transbronchial biopsy was performed. 27 patients were in stage IV of the HIV infection, and 14 had been on pentamidine prophylaxis. The most frequent diagnosis with the bronchial lavage was bacterial infection (19 patients), next most frequent was mycobacterial infection (6, atypical in 5). A neoplasia (Kaposi sarcoma; non-Hodgkin lymphoma) was found in two, with pulmonary involvement. The diagnosis remained unclear in only three patients who were treated as for Pc pneumonia. The remaining 27 patients did not receive any treatment against Pc. Nonetheless, there were no cases of Pc pneumonia in the 5 months of observation so that bronchoalveolar lavage has a negative predictive value of 90% (27 of 30), high enough to make additional bronchial biopsy unnecessary.

Authors+Show Affiliations

Teuscher AU
Abteilung für Infektionskrankheiten, Universitätsspital, Zürich.
Opravil M
No affiliation info available
Speich R
No affiliation info available
Kuster H
No affiliation info available
Siegenthaler W
No affiliation info available
Russi EW
No affiliation info available
Lüthy R
No affiliation info available

MeSH

AdultBronchitisBronchoalveolar Lavage FluidDiagnosis, DifferentialFemaleFollow-Up StudiesHIV InfectionsHumansLung NeoplasmsLymphoma, Non-HodgkinMaleMiddle AgedMycobacterium InfectionsPneumoniaPneumonia, PneumocystisSarcoma, KaposiTime FactorsTuberculosis, Pulmonary

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

1618118

Citation

Teuscher, A U., et al. "[Diagnosis and Course of Patients With HIV Infections and Exclusion of Pneumocystis Carinii Pneumonia]." Deutsche Medizinische Wochenschrift (1946), vol. 117, no. 27, 1992, pp. 1052-6.
Teuscher AU, Opravil M, Speich R, et al. [Diagnosis and course of patients with HIV infections and exclusion of Pneumocystis carinii pneumonia]. Dtsch Med Wochenschr. 1992;117(27):1052-6.
Teuscher, A. U., Opravil, M., Speich, R., Kuster, H., Siegenthaler, W., Russi, E. W., & Lüthy, R. (1992). [Diagnosis and course of patients with HIV infections and exclusion of Pneumocystis carinii pneumonia]. Deutsche Medizinische Wochenschrift (1946), 117(27), 1052-6.
Teuscher AU, et al. [Diagnosis and Course of Patients With HIV Infections and Exclusion of Pneumocystis Carinii Pneumonia]. Dtsch Med Wochenschr. 1992 Jul 3;117(27):1052-6. PubMed PMID: 1618118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Diagnosis and course of patients with HIV infections and exclusion of Pneumocystis carinii pneumonia]. AU - Teuscher,A U, AU - Opravil,M, AU - Speich,R, AU - Kuster,H, AU - Siegenthaler,W, AU - Russi,E W, AU - Lüthy,R, PY - 1992/7/3/pubmed PY - 1992/7/3/medline PY - 1992/7/3/entrez SP - 1052 EP - 6 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch Med Wochenschr VL - 117 IS - 27 N2 - 30 patients infected with HIV (20 men, 10 women; mean age 34 [26-54] years), suspected of having Pneumocystis carinii (Pc) pneumonia, had undergone bronchoalveolar lavage which proved negative for Pc. They were then kept under observation for 5 months. No transbronchial biopsy was performed. 27 patients were in stage IV of the HIV infection, and 14 had been on pentamidine prophylaxis. The most frequent diagnosis with the bronchial lavage was bacterial infection (19 patients), next most frequent was mycobacterial infection (6, atypical in 5). A neoplasia (Kaposi sarcoma; non-Hodgkin lymphoma) was found in two, with pulmonary involvement. The diagnosis remained unclear in only three patients who were treated as for Pc pneumonia. The remaining 27 patients did not receive any treatment against Pc. Nonetheless, there were no cases of Pc pneumonia in the 5 months of observation so that bronchoalveolar lavage has a negative predictive value of 90% (27 of 30), high enough to make additional bronchial biopsy unnecessary. SN - 0012-0472 UR - https://www.unboundmedicine.com/medline/citation/1618118/[Diagnosis_and_course_of_patients_with_HIV_infections_and_exclusion_of_Pneumocystis_carinii_pneumonia]_ DB - PRIME DP - Unbound Medicine ER -