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Chest, Vol 98, 29-32, Copyright © 1990 by American College of Chest Physicians

ARTICLES

Tracheal catheters in patients with acquired immunodeficiency syndrome for the diagnosis of Pneumocystis carinii pneumonia

WR Martin, TE Albertson and B Siegel
Division of Pulmonary and Critical Care Medicine, University of California Davis Medical Center, Sacramento.

The diagnosis of Pneumocystis carinii pneumonia (PCP) often requires bronchoscopy. In 82 consecutive human immunodeficiency virus (HIV)- positive patients suspected of having PCP, we passed a 14-F catheter into the trachea under local anesthesia without intubation, instilled saline solution, and then collected the secretions by aspiration. Bronchoscopy with collection of bronchial washings and performance of bronchoalveolar lavage (BAL) was then performed and the results were compared. The catheter results were identical with the results of BAL in 77 of 82 patients. This inexpensive technique may provide a reasonable early step in the diagnosis of PCP.




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Copyright © 1990 by the American College of Chest Physicians.