Rapid Diagnosis of Legionnaires' Disease by Bronchoalveolar Lavage
| Autor: | William R. Kohorst, Steven A. Schonfeld, Michael E. Whitcomb, James E. Macklin |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.diagnostic_test biology business.industry Diagnostic test Critical Care and Intensive Care Medicine medicine.disease biology.organism_classification Legionella pneumophila respiratory tract diseases Pneumonia Bronchoalveolar lavage Immunology Isolation techniques medicine Legionnaires' disease Cardiology and Cardiovascular Medicine business Pathogen |
| Zdroj: | Chest. 84:186-190 |
| ISSN: | 0012-3692 |
| Popis: | Legionella pneumophila has, in recent years, emerged as a common pulmonary pathogen in the normal and immuno-compromised patient (ICP). Making a specific etiologic diagnosis of pneumonia in the latter group is a common clinical dilemma often complicated by poor specimen availability and risks of invasive procedures. Improved staining and isolation techniques for L pneumophila would suggest that early diagnosis could be possible if adequate specimens were available. This report summarizes our experience with bronchoalveolar lavage (BAL) with which we have diagnosed L pneumophila in eight immunocompromised patients, well in advance of more traditional methods. On the basis of this experience, we would advocate early BAL in the ICP as a rapid, safe, moderately sensitive and specific diagnostic test to aid in the identification of L pneumophila. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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