Maesaki S, Kohno S, Mashimoto H, Araki J, Asai S, Hara K
Sasebo General Hospital.
Intern Med. 1995 Jan;34(1):54-7. doi: 10.2169/internalmedicine.34.54.
Four cases of pulmonary cryptococcosis were diagnosed by cytological detection of Cryptococcus neoformans in bronchial lavage. Three patients had underlying diseases, but not HIV infection. The chest X-rays showed 2 patients with nodular lesions and 2 with cavitary lesions. The cryptococcal antigen in the serum was positive in all four patients. In the cytology of bronchial lavage, Cryptococcus neoformans was detected after period-acid-Schiff (PAS) staining and was cultured in Sabouraud-dextrose agar. The cytology of bronchial lavage is useful for the rapid diagnosis of pulmonary cryptococcosis.
通过支气管灌洗中新型隐球菌的细胞学检测诊断出4例肺隐球菌病。3例患者有基础疾病，但未感染HIV。胸部X光显示2例患者有结节性病变，2例有空洞性病变。所有4例患者血清中的隐球菌抗原均为阳性。在支气管灌洗的细胞学检查中，经高碘酸-希夫（PAS）染色后检测到新型隐球菌，并在沙氏葡萄糖琼脂上进行培养。支气管灌洗的细胞学检查有助于快速诊断肺隐球菌病。
