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Diagnostic utility of fiberoptic bronchoscopy in patients with Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome.
Am Rev Respir Dis. 1983 Nov; 128(5):795-9.AR

Abstract

The records of 35 adult male patients with suspected Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome were reviewed to determine the diagnostic utility of fiberoptic bronchoscopy. Twenty-two of the 24 patients (92%) shown to have Pneumocystis pneumonia were diagnosed by bronchoscopy; 20 patients were diagnosed after 1 bronchoscopy and 2 patients after 2 bronchoscopies. The sensitivity of bronchoscopy specimens for diagnosing Pneumocystis pneumonia was 79% for transbronchial biopsies (19 of 24), 78% for transbronchial biopsy touch preparations (7 of 9), 55% for bronchial washings (11 of 20), and 39% for bronchial brushings (7 of 18). The overall sensitivity of fiberoptic bronchoscopy was 85% (22 positive of 26 total bronchoscopies). Complications, occurring during 6 of the 37 bronchoscopies, were slight hemoptysis (1 patient), fever (2 patients), septic shock (1 patient), and pneumothorax (2 patients). Fiberoptic bronchoscopy is a safe and effective procedure for making the early diagnosis of Pneumocystis carinii pneumonia in adult male patients with the acquired immune deficiency syndrome.

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Authors

Coleman DL
No affiliation info available
Dodek PM
No affiliation info available
Luce JM
No affiliation info available
Golden JA
No affiliation info available
Gold WM
No affiliation info available
Murray JF
No affiliation info available

MeSH

Acquired Immunodeficiency SyndromeAdultBronchoscopyFiber Optic TechnologyHumansMalePneumonia, Pneumocystis

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

6605700

Citation

Coleman, D L., et al. "Diagnostic Utility of Fiberoptic Bronchoscopy in Patients With Pneumocystis Carinii Pneumonia and the Acquired Immune Deficiency Syndrome." The American Review of Respiratory Disease, vol. 128, no. 5, 1983, pp. 795-9.
Coleman DL, Dodek PM, Luce JM, et al. Diagnostic utility of fiberoptic bronchoscopy in patients with Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome. Am Rev Respir Dis. 1983;128(5):795-9.
Coleman, D. L., Dodek, P. M., Luce, J. M., Golden, J. A., Gold, W. M., & Murray, J. F. (1983). Diagnostic utility of fiberoptic bronchoscopy in patients with Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome. The American Review of Respiratory Disease, 128(5), 795-9.
Coleman DL, et al. Diagnostic Utility of Fiberoptic Bronchoscopy in Patients With Pneumocystis Carinii Pneumonia and the Acquired Immune Deficiency Syndrome. Am Rev Respir Dis. 1983;128(5):795-9. PubMed PMID: 6605700.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic utility of fiberoptic bronchoscopy in patients with Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome. AU - Coleman,D L, AU - Dodek,P M, AU - Luce,J M, AU - Golden,J A, AU - Gold,W M, AU - Murray,J F, PY - 1983/11/1/pubmed PY - 1983/11/1/medline PY - 1983/11/1/entrez SP - 795 EP - 9 JF - The American review of respiratory disease JO - Am Rev Respir Dis VL - 128 IS - 5 N2 - The records of 35 adult male patients with suspected Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome were reviewed to determine the diagnostic utility of fiberoptic bronchoscopy. Twenty-two of the 24 patients (92%) shown to have Pneumocystis pneumonia were diagnosed by bronchoscopy; 20 patients were diagnosed after 1 bronchoscopy and 2 patients after 2 bronchoscopies. The sensitivity of bronchoscopy specimens for diagnosing Pneumocystis pneumonia was 79% for transbronchial biopsies (19 of 24), 78% for transbronchial biopsy touch preparations (7 of 9), 55% for bronchial washings (11 of 20), and 39% for bronchial brushings (7 of 18). The overall sensitivity of fiberoptic bronchoscopy was 85% (22 positive of 26 total bronchoscopies). Complications, occurring during 6 of the 37 bronchoscopies, were slight hemoptysis (1 patient), fever (2 patients), septic shock (1 patient), and pneumothorax (2 patients). Fiberoptic bronchoscopy is a safe and effective procedure for making the early diagnosis of Pneumocystis carinii pneumonia in adult male patients with the acquired immune deficiency syndrome. SN - 0003-0805 UR - https://www.unboundmedicine.com/medline/citation/6605700/Diagnostic_utility_of_fiberoptic_bronchoscopy_in_patients_with_Pneumocystis_carinii_pneumonia_and_the_acquired_immune_deficiency_syndrome_ L2 - https://www.atsjournals.org/doi/10.1164/arrd.1983.128.5.795?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -