title: Elevated serum levels of tumor necrosis factor-alpha after bronchoscopy and bronchoalveolar lavage.
abstract: Fiberoptic bronchoscopy and bronchoalveolar lavage are often followed by the development of fever and other influenza-like symptoms. We report the onset of these symptoms in a healthy volunteer following bronchoscopy and bronchoalveolar lavage; the symptoms were temporally associated with the dramatic elevation of serum levels of tumor necrosis factor. Our observations suggest that tumor necrosis factor may be involved in mediating fever and other influenza-like symptoms occurring after bronchoscopy.
authors.affiliation: Department of Internal Medicine, University of Michigan Medical School, Ann Arbor 48109-0360.
authors.forename: T J
authors.initials: TJ
authors.lastname: Standiford
authors.forename: S L
authors.initials: SL
authors.lastname: Kunkel
authors.forename: R M
authors.initials: RM
authors.lastname: Strieter
mesh_terms: D001992:Bronchoalveolar Lavage Fluid; D001999:Bronchoscopy / Q000009:adverse effects; D005334:Fever / Q000097:blood / Q000209:etiology; D006261:Headache / Q000097:blood / Q000209:etiology; D006801:Humans; D008297:Male; D014409:Tumor Necrosis Factor-alpha / Q000032:analysis*
chemical_list: D014409:Tumor Necrosis Factor-alpha