[Pulmonary complications in acquired immunodeficiency syndrome. Results of a prospective study].
Between 1983 and 1987, a stepwise diagnostic programme was undertaken prospectively in 37 of 100 HIV-positive patients with 40 bronchopulmonary infections. It consisted chiefly of flexible bronchoscopy combined with lavage, transbronchial biopsy and/or removal of bronchial brush cells. Taking into account all examinations performed in life and at autopsy, 25 of the 37 patients had Pneumocystis carinii pneumonia (67.5%), 13 had bacterial pneumonia, six of these were mycobacterial infections (atypical mycobacteria in four), eight had neoplasms (pulmonary Kaposi's sarcoma in five, squamous-cell carcinoma in two, and Hodgkin's disease in one), and four patients had cytomegalovirus infection. Total diagnostic success of bronchoscopy was 78%; related to Pneumocystis pneumonia it was 91%.
Höffken
G
G
Medizinische Klinik und Poliklinik des Klinikum Steglitz, Freie Universität, Berlin.
Lode
H
H
Dissmann
T
T
Ludwig
W D
WD
Hunsdiek
K F
KF
Krämer
A
A
Hampl
H
H
Zorr
B
B
Mielke
M
M
Bratzke
B
B
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000401:mortality / Q000473:pathology; D000328:Adult; D000368:Aged; D001706:Biopsy; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008171:Lung Diseases / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000473:pathology; D011379:Prognosis; D011446:Prospective Studies; D011859:Radiography; D012307:Risk Factors
Pulmonale Komplikationen beim erworbenen Immundefektsyndrom. Ergebnisse einer prospektiven Untersuchung.