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弓形虫肺炎:通过支气管肺泡灌洗进行细胞学诊断

Toxoplasma pneumonia: cytologic diagnosis by bronchoalveolar lavage.

作者信息

Wheeler R R, Bardales R H, North P E, Vesole D H, Tricot G, Stanley M W

机构信息

Department of Pathology, University of Arkansas for Medical Sciences, Little Rock 72205.

出版信息

Diagn Cytopathol. 1994;11(1):52-5. doi: 10.1002/dc.2840110112.

Abstract

Two cases of toxoplasma pneumonia in immunocompromised hosts are reported. The diagnoses were made by the identification of trophozoites in bronchoalveolar lavage material. The organisms were more readily identified in the air-dried Diff-Quik-stained smears. Cytologic findings and correlation with postmortem examination material in one case are described. A high index of suspicion for this pathogen, as well as screening cytologic preparations at medium to high magnification may increase the diagnostic rate for this uncommon but treatable disease.

摘要

报告了两例免疫功能低下宿主的弓形虫肺炎病例。诊断是通过在支气管肺泡灌洗材料中鉴定滋养体做出的。在空气干燥的Diff-Quik染色涂片中更容易识别出这些生物体。描述了其中一例的细胞学发现及其与尸检材料的相关性。对这种病原体保持高度怀疑指数,以及在中高倍放大下筛查细胞学标本,可能会提高这种罕见但可治疗疾病的诊断率。

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