Abstract

Bronchoalveolar lavage is an important tool for the cytologic and microbiologic examination of the lung. Silver- or Papanicolaou-stained slides from 604 lavage specimens form 344 patients were evaluated for the presence of fungal, parasitic, and viral organisms. Yeasts, pseudohyphae, or hyphae occurred in 155 specimens (25.7%). Candida was the most frequent opportunistic fungus in immunosuppressed hosts. Patients with clinically significant Candida infection had many budding yeasts and pseudohyphae on cytologic preparations of their lavage fluid. Aspergillus, which occurred in five patients, was readily identified by cytologic examination and by fungal culture. Pneumocystis carinii was found in 14 patients (4%). Cytopathologic characteristics of Herpes simplex or cytomegalovirus were present in four patients (1.2%). In 414 specimens no pathogens were identified by either microbial culture or cytologic examination; usually, these patients had pulmonary hemorrhage, recurrent neoplasia, or therapy-induced lung disease to account for their abnormal chest x-rays. Cytologic and microbiologic examination of lavage fluid readily identified opportunistic pathogens. The ease and low morbidity of bronchoalveolar lavage support its use in the assessment of pulmonary infiltrates in immunocompromised hosts.

Original languageEnglish (US)
Pages (from-to)421-428
Number of pages8
JournalAmerican journal of clinical pathology
Volume88
Issue number4
DOIs
StatePublished - Jan 1 1987

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Opportunistic Infections
Bronchoalveolar Lavage
Therapeutic Irrigation
Immunocompromised Host
Candida
Lung
Pneumocystis carinii
Herpes Simplex
Saccharomycetales
Hyphae
Aspergillus
Cytomegalovirus
Silver
Lung Diseases
Fungi
Thorax
Yeasts
X-Rays
Hemorrhage
Morbidity

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

Cytopathology of opportunistic infection in bronchoalveolar lavage. / Linder, James; Vaughan, W. P.; Armitage, James Olen; Ghafouri, A.; Hurkman, D.; Mroczek, E. C.; Miller, N. G.; Rennard, S. I.

In: American journal of clinical pathology, Vol. 88, No. 4, 01.01.1987, p. 421-428.

Research output: Contribution to journalArticle

Linder, J, Vaughan, WP, Armitage, JO, Ghafouri, A, Hurkman, D, Mroczek, EC, Miller, NG & Rennard, SI 1987, 'Cytopathology of opportunistic infection in bronchoalveolar lavage', American journal of clinical pathology, vol. 88, no. 4, pp. 421-428. https://doi.org/10.1093/ajcp/88.4.421
Linder, James ; Vaughan, W. P. ; Armitage, James Olen ; Ghafouri, A. ; Hurkman, D. ; Mroczek, E. C. ; Miller, N. G. ; Rennard, S. I. / Cytopathology of opportunistic infection in bronchoalveolar lavage. In: American journal of clinical pathology. 1987 ; Vol. 88, No. 4. pp. 421-428.
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