title: [Microbiological results of bronchoalveolar lavage that was performed for opportunistic pulmonary infections].
abstract: Between 2001-2002; in 62 cases, 33 (53%) male, 29 (47%) female, mean age 51.4 +/- 18.1 years) bronchoalveolar lavage (BAL) was performed for diagnosis of opportunistic pulmonary infection and specimens were evaluated for results of microbiological examinations. There was hematological malignancy in 18 (29%) and solid organ malignancy in 13 (21%) cases. Thirty-one (50%) cases were immunocompromised for reasons other than malignancy. By endoscopic evaluation endobronchial lesion was seen in 2 (3%) cases, indirect tumor signs were seen in 2 (3%) cases and signs of infection were seen in 11 (18%) cases. Forty-even (76%) cases were endoscopically normal. Acid-fast bacilli (AFB) direct examination was positive in 3 (5%) cases. In 4 (6%) cases mycobacterial culture was positive, Mycobacterium tuberculosis-polymerase chain reaction (PCR) was also positive in these four cases. Examination of gram-stained smears for bacteria was associated with infection in 14 (23%) cases. Bacteriologic cultures were positive for single potential pathogen in 10 (16%) cases, and for mixed pathogens in 7 (11%) cases for a total number of 17 (27%). Fungal cultures were positive in 3 (5%) cases all of which had hematological malignancy. As a result in 24 (39%) cases microbiological agent of infection is determined: in four mycobacteria, in 17 bacteria other than mycobacteria and in three fungi.
authors.affiliation: Department of Chest Diseases, Faculty of Medicine, Celal Bayar University, Manisa, Turkey. aylingulcu@yahoo.com
authors.forename: Aylin
authors.initials: A
authors.lastname: Gülcü
authors.forename: Can
authors.initials: C
authors.lastname: Sevinç
authors.forename: Nuran
authors.initials: N
authors.lastname: Esen
authors.forename: Oğuz
authors.initials: O
authors.lastname: Kilinç
authors.forename: Eyüp Sabri
authors.initials: ES
authors.lastname: Uçan
authors.forename: Oya
authors.initials: O
authors.lastname: Itil
authors.forename: Arif Hikmet
authors.initials: AH
authors.lastname: Cimrin
authors.forename: Nuray
authors.initials: N
authors.lastname: Kömüs
authors.forename: Gülper
authors.initials: G
authors.lastname: Sener
authors.forename: Atila
authors.initials: A
authors.lastname: Akkoçlu
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Gülay
authors.forename: Mine
authors.initials: M
authors.lastname: Yücesoy
mesh_terms: D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology*; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D003904:Mitosporic Fungi / Q000302:isolation & purification; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D009894:Opportunistic Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D011237:Predictive Value of Tests; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology