Role of open lung biopsy in diagnosing pulmonary complications of AIDS

Trachiotis, Gregory D.; Hafner, Gordon H.; Hix, W. R.; Aaron, Benjamin

doi:10.1016/0003-4975(92)90644-j

Cited by 24 publications

(7 citation statements)

References 27 publications

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“…Patients with AIDSrelated PTX and Pneumocystis carinii pneumonia (PCP) are estimated to be between 3% and 9% [5][6][7]. Seventy percent of these patients usually have previous or current episodes of opportunistic PCP, and are often at the terminal phase of their disease [9][10][11][12]. Although the cause of these PTXs remains unclear, pneumocystis carinii pneumonia results in diffuse alveolar damage and coalescence of cystic air spaces that is manifested as bullous parenchymal damage and subpleural pneumatoceles [8,13].…”

Section: Discussionmentioning

confidence: 99%

Management of AIDS-related bilateral pneumothorax and temporal arteritis

et al. 2010

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Pneumothorax (PTX) occurs in up to 2% of patients with Acquired Immunodeficiency Syndrome (AIDS) infected with Pneumocystis Carinii Pneumonia (PCP), and up to 50% of those will die during hospitalization. The treatment strategies for managing AIDS-related PTX are often complex and ineffective and they can prolong hospitalization. We present the management of a patient with giant cell (aka temporal) arteritis and AIDS-related bilateral persistent PTX.

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Section: Discussionmentioning

confidence: 99%

Management of AIDS-related bilateral pneumothorax and temporal arteritis

et al. 2010

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“…Em adultos, são descritas taxas de complicação de 1,2% a 56,0%, conforme o autor estudado (26,37,38) . Esses percentuais muito discrepantes são decorrentes das diferenças, dependendo do autor, na conceituação do que seja uma complicação.…”

Section: Discussionunclassified

Contribuição da biópsia pulmonar a céu aberto na avaliação de pneumopatias difusas e agudas em unidade de terapia intensiva pediátrica

Bousso¹,

Baldacci²,

Fernandes³

et al. 2002

J. Pneumologia

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“…When bronchoscopy is nondiagnostic, surgical lung biopsy may ultimately yield a diagnosis of parenchymal lung disease. 110,111 Other diagnostic procedures that may be required for tissue-based diagnosis include thoracentesis for pleural fluid, pleural biopsy, mediastinoscopy, CT-guided needle biopsy, or endobronchial ultrasound. CT-guided transthoracic needle biopsy is particularly useful for diagnosing peripheral nodules and localized infiltrates, with good diagnostic yield in the setting of infection and lung cancer.…”

Section: Bronchoscopymentioning

confidence: 99%

Evaluation and Diagnosis of HIV-Associated Lung Disease

Maximous

Huang

Morris

2016

Semin Respir Crit Care Med

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There are myriad pulmonary conditions associated with HIV, ranging from acute infections to chronic noncommunicable diseases. The epidemiology of these diseases has changed significantly in the era of widespread antiretroviral therapy. Evaluation of the HIV-infected patient involves assessment of the severity of illness and a thorough yet efficient pursuit of definitive diagnosis, which may involve multiple etiologies simultaneously. Important clues to a diagnosis include medical and social history, demographic details such as travel and geography of residence, substance use, sexual practices, and domiciliary and incarceration status. CD4 cell count is a tremendously useful measure of immune function and risk for HIV-related diseases, and helps narrow down the differential. Careful history of current symptoms and physical examination with particular attention to extrapulmonary signs are crucial early steps. Many adjunctive laboratory studies can suggest or rule out particular diagnoses. Pulmonary function testing (PFT) may aid in characterization of several chronic noninfectious illnesses accelerated by HIV. Chest radiograph and computed tomography (CT) scan allow for classification of diseases by pathognomonic imaging patterns, although many infectious conditions present atypically, particularly with lower CD4 counts. Ultimately, definitive diagnosis with sputum, bronchoscopy with bronchoalveolar lavage, or lung tissue is often needed. It is of utmost importance to maintain a high degree of suspicion for HIV in otherwise undiagnosed patients, as the first presentation of HIV may be via an acute pulmonary illness.

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Role of open lung biopsy in diagnosing pulmonary complications of AIDS

Cited by 24 publications

References 27 publications

Management of AIDS-related bilateral pneumothorax and temporal arteritis

Management of AIDS-related bilateral pneumothorax and temporal arteritis

Contribuição da biópsia pulmonar a céu aberto na avaliação de pneumopatias difusas e agudas em unidade de terapia intensiva pediátrica

Evaluation and Diagnosis of HIV-Associated Lung Disease

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