Diagnostic Bronchoalveolar Lavage in Immunosuppressed Patients With New Pulmonary Infiltrates

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Differential cytology of bronchoalveolar lavage fluid in immunosuppressed children with pulmonary infiltrates.

OBJECTIVE Bronchoalveolar lavage (BAL) is a well established technique for the detection of pathogens in immunosuppressed children, but its diagnostic yield is variable. The aim of this study was to investigate whether BAL differential cell counts are helpful in the evaluation of pulmonary infiltrates in immunocompromised children. STUDY DESIGN BAL was performed 28 times in 27 febrile immunoc...

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Pulmonary infiltrates in immunocompromised patients: diagnosis by cytological examination of bronchoalveolar lavage fluid.

Thirty pulmonary infiltrates in 26 patients were investigated by bronchoalveolar lavage. Sixteen of the patients were on therapeutic immunosuppression for renal disease or transplant and 10 had leukaemia, lymphoma, or allied conditions. A rapid specific diagnosis was made in 21 (70%) episodes by cytological examination of the fluid and in 28 (93%) by a combination of cytology and microbiology. ...

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Bronchoscopy with bronchoalveolar lavage: determinants of yield and impact on management in immunosuppressed patients.

Fibreoptic bronchoscopy with bronchoalveolar lavage (FOB/BAL) is a common modality for the evaluation of pulmonary infiltrates. 2 We recognised there are limitations of comparison between subgroups of immunosuppressed patients, non-uniform definitions of a positive yield, suboptimal description of the impact of concurrent antimicrobial use at the time of the bronchoscopy and sometimes insuffici...

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Approach to the immunosuppressed patient with pulmonary infiltrates.

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ژورنال

عنوان ژورنال: Mayo Clinic Proceedings

سال: 1992

ISSN: 0025-6196

DOI: 10.1016/s0025-6196(12)60108-6