Document 0048
 DOCN  M9460048
 TI    [The cytological picture in pleural pneumocystosis]
 DT    9408
 AU    Gori S; Scasso A; Divisione Malattie Infettive del Presidio Ospedaliero
       di Pisa.
 SO    Pathologica. 1993 Nov-Dec;85(1100):733-8. Unique Identifier : AIDSLINE
       MED/94224516
 AB    We report a case of a HIV+ patient treated with prophylactic aerosolized
       pentamidine. The patient showed evidence of tensive right pneumothorax
       and slight pleural effusion. The pleural fluid was aspired from the
       drainage and processed in our laboratory. The cytologic examination of
       aspired fluid revealed abundant Pneumocystis carinii organisms. The
       cytologic presentation is peculiar in pleural fluid because of the
       presence of a large amount of trophozoites and a small number of cysts.
       Direct examination and Giemsa stain are suitable methods to detect
       trophozoites. The diagnosis can be confirmed by Gomori and Toloidine Blu
       stains that demonstrate the presence of isolated and scarce cysts.
       Pneumocystis carinii can also be recognized in Papanicolaou-stained
       smears as eosinophilic aggregates.
 DE    Adult  Aerosols  AIDS-Related Opportunistic
       Infections/MICROBIOLOGY/*PATHOLOGY  Case Report  English Abstract  Human
       Male  Pentamidine/ADMINISTRATION & DOSAGE/THERAPEUTIC USE  Pleural
       Effusion/COMPLICATIONS/MICROBIOLOGY/*PATHOLOGY  Pneumocystis
       carinii/ISOLATION & PURIF  Pneumocystis carinii Infections/*PATHOLOGY
       Pneumonia, Pneumocystis carinii/COMPLICATIONS  Pneumothorax/ETIOLOGY
       Stains and Staining  JOURNAL ARTICLE

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