Diagnosis of pulmonary complications of the acquired immune deficiency syndrome. NLM AIDSLINE Important note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.

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Diagnosis of pulmonary complications of the acquired immune deficiency syndrome.

Thorax. 1985 Aug;40(8):571-5. Unique Identifier : AIDSLINE MED/85301149
Rosen MJ; Tow TW; Teirstein AS; Chuang MT; Marchevsky A; Bottone EJ


Abstract: Forty eight patients with the acquired immunedeficiency syndrome (AIDS) presented to the Mount Sinai Hospital in New York with persistent cough and dyspnoea or an abnormal chest radiograph, or both. Thirty two (67%) were found to have Pneumocystis carinii pneumonia, either alone or in combination with another pathogen. Of these patients, eight (25%) had a normal chest radiograph. Abnormalities in the single breath carbon monoxide diffusing capacity and alveolar-arterial oxygen gradient [A-a) DO2) suggested infection with Pneumocystis carinii. Fibreoptic bronchoscopy with transbronchial biopsy was 100% sensitive in the diagnosis of pneumocytis pneumonia. Fibreoptic bronchoscopy should be undertaken in patients suspected of having a pulmonary complication of AIDS, even if the chest radiograph is normal.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Blood Gas Analysis Bronchoscopy Female Human Lung/PATHOLOGY/RADIOGRAPHY Lung Diseases/*DIAGNOSIS/ETIOLOGY/PATHOLOGY/RADIOGRAPHY Male Middle Age Pneumonia, Pneumocystis carinii/DIAGNOSIS/ETIOLOGY Respiratory Function Tests Support, Non-U.S. Gov't JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultbloodgasanalysisbronchoscopyfemalehumanlung/pathology/radiographylungdiseases/KWDdiagnosis/etiology/pathology/radiographymalemiddleagepneumonia,pneumocystiscarinii/diagnosis/etiologyrespiratoryfunctiontestssupport,non-uKWDsKWDgov'tjournalarticle
851230
M85C0143


Copyright © 1985 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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