Diagnostic bronchoalveolar lavage in children with AIDS

Michael R. Bye; Larry Bernstein; Kiran Shah; Maadhava Ellaurie; Arye Rubinstein

doi:10.1002/ppul.1950030609

Diagnostic bronchoalveolar lavage in children with AIDS

Michael R. Bye, Larry Bernstein, Kiran Shah, Maadhava Ellaurie, Arye Rubinstein

Pediatrics

Research output: Contribution to journal › Article › peer-review

49 Scopus citations

Abstract

Between October, 1985 and May 1987, 29 children (mean age 22 ± 22 months, range 2–54 months) with AIDS or ARC developed acute respiratory illness. The initial diagnostic procedure was flexible fiberoptic bronchoscopy, with bronchoalveolar lavage (BAL). BAL was positive for Pneumocystis carinii in 14 and for respiratory syncytial virus, Staphylococcus aureus, and Escherichia coli in 3 additional patients. Subsequent lung tissue analysis and/or clinical course suggested no false negative lavages. Complications possibly related to the procedure occurred in two patients. We find BAL an effective diagnostic technique in these patients, offering a less invasive alternative to open lung biopsy.

Original language	English (US)
Pages (from-to)	425-428
Number of pages	4
Journal	Pediatric pulmonology
Volume	3
Issue number	6
DOIs	https://doi.org/10.1002/ppul.1950030609
State	Published - 1987

Keywords

Bacteriological and virological findings
complications
false negatives
none
two

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Pulmonary and Respiratory Medicine

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10.1002/ppul.1950030609

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AU - Bernstein, Larry

AU - Shah, Kiran

AU - Ellaurie, Maadhava

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AB - Between October, 1985 and May 1987, 29 children (mean age 22 ± 22 months, range 2–54 months) with AIDS or ARC developed acute respiratory illness. The initial diagnostic procedure was flexible fiberoptic bronchoscopy, with bronchoalveolar lavage (BAL). BAL was positive for Pneumocystis carinii in 14 and for respiratory syncytial virus, Staphylococcus aureus, and Escherichia coli in 3 additional patients. Subsequent lung tissue analysis and/or clinical course suggested no false negative lavages. Complications possibly related to the procedure occurred in two patients. We find BAL an effective diagnostic technique in these patients, offering a less invasive alternative to open lung biopsy.

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Diagnostic bronchoalveolar lavage in children with AIDS

Abstract

Keywords

ASJC Scopus subject areas

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