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Nonbronchoscopic bronchoalveolar lavage for the diagnosis for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome.
Chest. 1985 Nov; 88(5):659-62.Chest

Abstract

We compared conventional bronchoscopic transbronchial biopsy (TBB) and bronchoalveolar lavage (BAL) with non-bronchoscopic bronchoalveolar lavage (NB-BAL) in nine patients with acquired immunodeficiency syndrome (AIDS) and bilateral lung infiltrates. NB-BAL was carried out with a control-tipped reusable catheter. In each patient, bronchoscopic procedures were performed in the right lung, followed immediately by NB-BAL in the left lung. The specimens obtained by NB-BAL confirmed the presence of P carinii pneumonia in seven of eight patients in whom the diagnosis was established by TBB or BAL. Viral cultures of NB-BAL specimens yielded cytomegalovirus (CMV) in four of five subjects with evidence of CMV via bronchoscopic technique, including two instances in which CMV was not detected by BAL. Complications were limited to right-sided pneumothorax attributable to TBB. Accuracy of NB-BAL appears to be comparable to that of conventional bronchoscopic approaches in the diagnosis of AIDS-related pulmonary infection with P carinii or CMV. NB-BAL may be a safer and more economical alternative to TBB and BAL in the diagnosis of pulmonary opportunistic infections.

Authors

Caughey G
No affiliation info available
Wong H
No affiliation info available
Gamsu G
No affiliation info available
Golden J
No affiliation info available

MeSH

Acquired Immunodeficiency SyndromeAdultBiopsyBronchiBronchoscopyCatheterizationCytomegalovirusHumansLungMaleMiddle AgedPneumocystisPneumonia, PneumocystisPulmonary AlveoliTherapeutic Irrigation

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2996837

Citation

Caughey, G, et al. "Nonbronchoscopic Bronchoalveolar Lavage for the Diagnosis for Pneumocystis Carinii Pneumonia in the Acquired Immunodeficiency Syndrome." Chest, vol. 88, no. 5, 1985, pp. 659-62.
Caughey G, Wong H, Gamsu G, et al. Nonbronchoscopic bronchoalveolar lavage for the diagnosis for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. Chest. 1985;88(5):659-62.
Caughey, G., Wong, H., Gamsu, G., & Golden, J. (1985). Nonbronchoscopic bronchoalveolar lavage for the diagnosis for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. Chest, 88(5), 659-62.
Caughey G, et al. Nonbronchoscopic Bronchoalveolar Lavage for the Diagnosis for Pneumocystis Carinii Pneumonia in the Acquired Immunodeficiency Syndrome. Chest. 1985;88(5):659-62. PubMed PMID: 2996837.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nonbronchoscopic bronchoalveolar lavage for the diagnosis for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. AU - Caughey,G, AU - Wong,H, AU - Gamsu,G, AU - Golden,J, PY - 1985/11/1/pubmed PY - 1985/11/1/medline PY - 1985/11/1/entrez SP - 659 EP - 62 JF - Chest JO - Chest VL - 88 IS - 5 N2 - We compared conventional bronchoscopic transbronchial biopsy (TBB) and bronchoalveolar lavage (BAL) with non-bronchoscopic bronchoalveolar lavage (NB-BAL) in nine patients with acquired immunodeficiency syndrome (AIDS) and bilateral lung infiltrates. NB-BAL was carried out with a control-tipped reusable catheter. In each patient, bronchoscopic procedures were performed in the right lung, followed immediately by NB-BAL in the left lung. The specimens obtained by NB-BAL confirmed the presence of P carinii pneumonia in seven of eight patients in whom the diagnosis was established by TBB or BAL. Viral cultures of NB-BAL specimens yielded cytomegalovirus (CMV) in four of five subjects with evidence of CMV via bronchoscopic technique, including two instances in which CMV was not detected by BAL. Complications were limited to right-sided pneumothorax attributable to TBB. Accuracy of NB-BAL appears to be comparable to that of conventional bronchoscopic approaches in the diagnosis of AIDS-related pulmonary infection with P carinii or CMV. NB-BAL may be a safer and more economical alternative to TBB and BAL in the diagnosis of pulmonary opportunistic infections. SN - 0012-3692 UR - https://www.unboundmedicine.com/medline/citation/2996837/Nonbronchoscopic_bronchoalveolar_lavage_for_the_diagnosis_for_Pneumocystis_carinii_pneumonia_in_the_acquired_immunodeficiency_syndrome_ DB - PRIME DP - Unbound Medicine ER -