[Bronchial brushing in severe lung diseases in children].
A distal bronchial brushing was performed in 25 children having severe lung diseases. The age of the patients ranged from 7 days to 14 years. Seventeen children were immuno-depressed. Bacteria were isolated five times (2 Staphylococcus aureus, 1 Streptococcus pneumoniae, 1 Serratia marcenscens, 1 Acinetobacter lwoffi), viruses twice (cytomegalovirus, syncytial respiratory virus), Pneumocystis carinii, four times. Cytologic study revealed malignant cells, and cells with intranuclear inclusions, evoking a viral infection. This procedure appears to be harmless in children over 2 years of age. In younger children there is a risk of pneumothorax. the principal indication for distal bronchial brushing is lung disease in immuno-depressed children. It may, however, also be useful in prolonged, treatment-resistant, severe lung diseases.
D000293:Adolescent; D001424:Bacterial Infections / Q000175:diagnosis*; D001706:Biopsy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001980:Bronchi / Q000166:cytology / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D003581:Cytodiagnosis / Q000379:methods*; D005069:Evaluation Studies as Topic; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012141:Respiratory Tract Infections / Q000175:diagnosis*; D014777:Virus Diseases / Q000175:diagnosis*
Le brossage bronchique dans les pneumopathies graves de l'enfant.