[Pneumonia in AIDS: pathogen spectrum and diagnostic value of various fiberoptic bronchoscopy methods for the detection of pathogens].
39 fibre-bronchoscopic examinations were performed prospectively in 29 AIDS-patients with pneumonia. Specimens were obtained from the central bronchial system with a protected brush and by suction, from the infiltrated peripheral area by catheter suction, protected brush, bronchoalveolar lavage (BAL) and transbronchial biopsy in randomized order. In patients with non-bacterial pneumonia, pneumocystis carinii (n = 20) was the most frequent pathogen. In this group BAL had a significantly higher rate of pathogen detection than other techniques. In patients with bacterial pneumonia (n = 10) the pathogens were found in all cases by suction from the central bronchial system. Fibre-bronchoscopy in patients with AIDS and pneumonia should include specimens from the central bronchial system and a bronchoalveolar lavage.
Hermeler
H
H
Abteilung für Kardiologie, Pneumologie und Angiologie der Universität Düsseldorf.
Worth
H
H
Schmitz
K F
KF
Breuer
H W
HW
Erckenbrecht
J F
JF
Krech
T
T
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D001999:Bronchoscopy / Q000379:methods*; D003937:Diagnosis, Differential; D006801:Humans; D008875:Middle Aged; D009894:Opportunistic Infections / Q000209:etiology*; D011014:Pneumonia / Q000209:etiology*; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic
Pneumonien bei AIDS: Erregerspektrum und diagnostische Wertigkeit verschiedener fiberbronchoskopischer Methoden zum Erregernachweis.