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[The value of fiberoptic bronchoscopy in diagnosis of HIV associated infections].
Med Klin (Munich). 1990 Jun 15; 85(6):361-5.MK

Abstract

32 patients with HIV infection presenting with fever or abnormal chest radiograph or both were investigated at the University Hospital of Mainz (FRG). Fiberoptic bronchoscopy with bronchoalveolar lavage and transbronchial biopsy was undertaken in each patient, additionally other methods were used for isolating pathogens (i.e. urine sample, stool and blood culture etc.). In 26 patients one or more complicating diseases were documented, in six persons no reason for fever or pulmonary symptoms could be detected. 21 patients had a pulmonary complication, 13 were found to have pneumocystis carinii pneumonia. Bacterial lung diseases were diagnosed in seven individuals (three caused by M. tuberculosis, two by S. pneumoniae, one by E. cloacae and one by S. aureus). One nonspecific interstitial pneumonitis was diagnosed. By other diagnostic procedures 25 non-pulmonary complications were established. -Fiberoptic bronchoscopy is most accurate for the detection of pulmonary pathogens in HIV infected persons when transbronchial biopsy and bronchoalveolar lavage is combined, especially in pneumocystis carinii pneumonia. Bronchoscopy should be performed also if the chest radiograph is normal.

Authors+Show Affiliations

Fischer B
III. Medizinische Klinik und Poliklinik, Universitätskliniken Mainz.
Elmer M
No affiliation info available
Ramadori G
No affiliation info available
Lorenz J
No affiliation info available

MeSH

AdolescentAdultBronchoalveolar Lavage FluidBronchoscopyFemaleHIV InfectionsHumansLung NeoplasmsLymphoma, Non-HodgkinMaleMiddle AgedOpportunistic InfectionsPneumoniaSarcoma, Kaposi

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

2377146

Citation

Fischer, B, et al. "[The Value of Fiberoptic Bronchoscopy in Diagnosis of HIV Associated Infections]." Medizinische Klinik (Munich, Germany : 1983), vol. 85, no. 6, 1990, pp. 361-5.
Fischer B, Elmer M, Ramadori G, et al. [The value of fiberoptic bronchoscopy in diagnosis of HIV associated infections]. Med Klin (Munich). 1990;85(6):361-5.
Fischer, B., Elmer, M., Ramadori, G., & Lorenz, J. (1990). [The value of fiberoptic bronchoscopy in diagnosis of HIV associated infections]. Medizinische Klinik (Munich, Germany : 1983), 85(6), 361-5.
Fischer B, et al. [The Value of Fiberoptic Bronchoscopy in Diagnosis of HIV Associated Infections]. Med Klin (Munich). 1990 Jun 15;85(6):361-5. PubMed PMID: 2377146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The value of fiberoptic bronchoscopy in diagnosis of HIV associated infections]. AU - Fischer,B, AU - Elmer,M, AU - Ramadori,G, AU - Lorenz,J, PY - 1990/6/15/pubmed PY - 2000/3/22/medline PY - 1990/6/15/entrez SP - 361 EP - 5 JF - Medizinische Klinik (Munich, Germany : 1983) JO - Med Klin (Munich) VL - 85 IS - 6 N2 - 32 patients with HIV infection presenting with fever or abnormal chest radiograph or both were investigated at the University Hospital of Mainz (FRG). Fiberoptic bronchoscopy with bronchoalveolar lavage and transbronchial biopsy was undertaken in each patient, additionally other methods were used for isolating pathogens (i.e. urine sample, stool and blood culture etc.). In 26 patients one or more complicating diseases were documented, in six persons no reason for fever or pulmonary symptoms could be detected. 21 patients had a pulmonary complication, 13 were found to have pneumocystis carinii pneumonia. Bacterial lung diseases were diagnosed in seven individuals (three caused by M. tuberculosis, two by S. pneumoniae, one by E. cloacae and one by S. aureus). One nonspecific interstitial pneumonitis was diagnosed. By other diagnostic procedures 25 non-pulmonary complications were established. -Fiberoptic bronchoscopy is most accurate for the detection of pulmonary pathogens in HIV infected persons when transbronchial biopsy and bronchoalveolar lavage is combined, especially in pneumocystis carinii pneumonia. Bronchoscopy should be performed also if the chest radiograph is normal. SN - 0723-5003 UR - https://www.unboundmedicine.com/medline/citation/2377146/[The_value_of_fiberoptic_bronchoscopy_in_diagnosis_of_HIV_associated_infections]_ DB - PRIME DP - Unbound Medicine ER -