PEDIATRICS Vol. 81 No. 6 June 1988, pp. 785-788
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Bronchoalveolar Lavage for Diagnosis of Pneumonia in the Immunocompromised Child

Lorry R. Frankel MD1, David W. Smith MBChB1, and Norman J. Lewiston MD1

1 From the Department of Pediatrics, Stanford University Medical Center, Stanford, California

Seven children with immunocompromised states were referred to the pediatric bronchoscopy service for evaluation of pneumonia. Flexible fiberoptic bronchoscopy accompanied with bronchoalveolar lavage was performed in all seven of these children. A definitive diagnosis was made for six of these seven patients. The diagnosis included Pneumocystis carinii in three, Candida albicans in two, and cytomegalovirus in one. There were no complications associated with the procedure. Flexible fiberoptic bronchoscopy with bronchoalveolar lavage should be considered early in the evaluation of the immunocompromised child with pneumonia.

Key Words: immunocompromised patient • pneumonia • bronchoalveolar lavage

Submitted on June 22, 1987
Accepted on July 31, 1987




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