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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: 

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DE
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