PEDIATRICS Vol. 42 No. 4 October 1968, pp. 647-650
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LUNG ASPIRATE PUNCTURE AS A DIAGNOSTIC AID IN PULMONARY TUBERCULOSIS IN CHILDHOOD

A Preliminary Study

Schuster C. Augusto M.D.1, Duffau T. Gaston M.D.1, Nicholls R. Eric M.D.1, and Pino C. Mario M.D.1

1 Department of Pediatrics, Professor Julio Meneghello R. and School of Medicine, University of Chile, Santiago, Chile

Ten infants and children suspected of pulmonary tuberculosis were submitted to lung puncture in an effort to recover tubercle bacilli. From eight infants the organisms were recovered on culture or guinea pig inoculation, and were identified on smear in seven of the eight immediately. Bronchial aspirates, performed in five of these eight patients, were positive in four. Gastric washings from the eight patients positive by lung puncture were negative in all but two. No complications consequent to lung puncture were seen.

This preliminary study suggests that lung puncture may be a safe diagnostic procedure which offers increased likelihood of recovering the organism. In addition, a more rapid diagnosis may be made because of a high rate of positive stained smears.

Submitted on September 25, 1967
Accepted on April 8, 1968




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