The recognition of mycobacterial infections by intraoperative cytology in patients with acquired immunodeficiency syndrome.

Autor: Jannotta FS; Department of Pathology, George Washington University Medical Center, Washington, DC., Sidawy MK
Jazyk: angličtina
Zdroj: Archives of pathology & laboratory medicine [Arch Pathol Lab Med] 1989 Oct; Vol. 113 (10), pp. 1120-3.
Abstrakt: In patients with the acquired immunodeficiency syndrome, mycobacterial lymphadenitis is characterized by the presence of numerous acid-fast bacilli within histiocytes. In Diff-Quik-stained cytologic preparations of such lymph nodes, performed during intraoperative consultations, the presence of mycobacteria is manifested by numerous negatively staining rod-shaped spaces intracellularly within histiocytes, as well as extra-cellularly in the background. Recognition of these characteristic "footprints," or "negative images," of mycobacteria can facilitate early diagnosis and treatment. The morphological characteristics that help to distinguish between Mycobacterium avium-intracellulare and Mycobacterium kansasii are also described.
Databáze: MEDLINE