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FEBRİL PNÖMONİK SENDROM DÜŞÜNÜLEN RENAL TRANSPLANT HASTALARINDA BRONKO ALVEOLAR LAVAJ BULGULARI

BRONCHO ALVEOLAR LAVAGE FINDINGS OF THE RENAL TRANSPLANT PATIENTS WITH FEBRILE PNEUMONIC SYNDROME

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Bronchoalveolar lavage (BAL) findings of seven renal transplant patients out of 38 who presented with newly occured pulmonary infiltrates and fever (37 "C axillary), and did not respond to nonspecific therapy were studied. The most predominant clinical features were dyspnea and tacypnea in six patients. Fever ranged from 38.2-39.5 "C (mean 38.6). We observed unilateral lobar infiltration in five patients, and diffuse nonspecific bilateral infiltrations in two patients on the chest X-rays.CMVIgM was positive in four patients by ELISA method.The sputum cultures were not significant. Fiberoptic bronchoscopy with BAL performed for microbiologic and histopathologic diagnosis was conclusive in all cases. The diagnostic yield for different pathogens was Staphylococcus aureus in three patients, Pneumocystis carinii in one, Pseudomonas spp. in two, and Mycobacterium tuberculosis in one patient
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Abstract (Original Language): 
Ateş (37 "C aks iller) ve yeni gelişmiş akciğer infiltrasyonu ile başvuran 38 renal transplant hastasından nonspesifik tedaviye yanıt alınamayan 7 hastanın bronkoalveolar lavaj (BAL) bulguları incelendi. Altı hastada klinik olarak en belirgin özellik dispne ve takipne idi. Ateş ortalama 38.6 "C, akciğer filmlerinde beş hastada unilateral lober infiltrasyon, iki hastada diffüz nonspesifik infiltrasyon gözlendi. Hastaların dördünde ELISA yöntemi ile CMV IgM pozitif saptandı.Balgam kültürleri anlamlı bulunmadı. Mikrobiyolojik ve histopatolojik tanı amacıyla yapılan fiberoptik bronkoskopi ve BAL, hastaların tamamında tanısaldı. Farklı patojenlere göre sonuçlar; üç hastada Staphylococcus aureus, iki hastada Pseudomonas spp., bir hastada Pneumocystis carinii, bir hastada Mycobacterium tuberculosis idi.
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  • 3-4
116-119
  • Turkish

REFERENCES

References: 

1. Stover
DE
, Zaman MB, Hajdu SI, et al. Bronchoalveolar lavage in the diagnosis of diffuse pulmonary infiltrates in the immunosuppressed host. Ann Intern Med 1984; 101;l-7.
2. Stover DE , White DA, Romano PA, et al. Diagnosis of
pulmonary disease in acquired immune deficiency syndrome: Role of bronchoscopy and bronchoalveolar
lavage. Am Rev Respir Dis 1984;130;659-662.
3. Coleman DL,Dodek PM, Luce JM, et al.Diagnostic utility of fiberoptic bronchoscopy in patients with Pneumocystis carinii pneumonia and the acquired immune deficiency
syndrome. Am Rev Respir Dis 1983; 128;795-799.
4. Pennington JE, Feldman NT.Pulmonary infiltrates and fever with hematologic malignancy: assessment of transbronchial biopsy. Am J Med.l977;62 :581-7.
5. Uzel S, Özsüt H.Organ transplantasyonu sonrası görülen infeksiyonlar ve tedavileri. Klimik Derg. 1995;8:104-108.
6. Winterbauer RH, Hutchinson JF, Reinhardt GN, et al.The use of quantitative cultures and antibody coating of bacteria to diagnose bacterial pneumonia by fiberoptic bronchoscopy.Am Rev Respir Dis 1983;128:98-103.
7. Rubin RH, Wolfson JS, Cosimi AB et al. Infection in the renal transplant recipient Am J Med 1981;70:405-11
8. Matthay RA, Greene WH.Pulmonary infections in the immunocompromised patient. Med Clin North Am 1980;64:529-51.
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