Evaluation of centrifugation cultures of bronchoalveolar lavage fluid for the diagnosis of cytomegalovirus pneumonitis

Alejo Erice, Marshall I. Hertz, Linda S Snyder, Janet Englund, Charlene K. Edelman, Henry H. Balfour

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Cytomegalovirus (CMV) pneumonitis is one of the most severe manifestations of CMV disease among immunocompromised patients. The diagnosis of CMV pneumonitis traditionally has required the use of invasive procedures such as lung biopsy. In this retrospective study, we evaluated a centrifugation culture method in samples of bronchoalveolar fluid for the noninvasive diagnosis of CMV pneumonitis. During a 9-mo period, 75 bronchoalveolar lavage samples were collected from 58 patients with pneumonitis. We analyzed the data from 21 patients in whom lung tissue samples were obtained within 14 days of the bronchoalveolar lavage. Centrifugation cultures of bronchoalveolar fluid were positive for CMV in 12 cases. CMV pneumonitis was confirmed in samples of lung tissue from five (42%) of the 12 patients, whereas no evidence of CMV pneumonitis was found in the remaining seven (58%) cases. Of nine patients with negative centrifugation cultures, CMV pneumonitis was confirmed in two (22%). When compared with conventional cultures, we found bronchoalveolar lavage fluid centrifugation cultures to be highly sensitive (100%) and specific (92%) for the detection of CMV infection. However, detection of CMV by centrifugation culture proved to be only moderately sensitive (71%) and nonspecific (50%) for the diagnosis of CMV pneumonitis.

Original languageEnglish (US)
Pages (from-to)205-212
Number of pages8
JournalDiagnostic Microbiology and Infectious Disease
Volume10
Issue number4
DOIs
StatePublished - 1988
Externally publishedYes

Fingerprint

Bronchoalveolar Lavage Fluid
Cytomegalovirus
Centrifugation
Pneumonia
Bronchoalveolar Lavage
Lung
Cytomegalovirus Infections
Immunocompromised Host
Retrospective Studies
Biopsy

ASJC Scopus subject areas

  • Applied Microbiology and Biotechnology
  • Immunology
  • Microbiology
  • Parasitology
  • Virology
  • Immunology and Allergy
  • Infectious Diseases

Cite this

Evaluation of centrifugation cultures of bronchoalveolar lavage fluid for the diagnosis of cytomegalovirus pneumonitis. / Erice, Alejo; Hertz, Marshall I.; Snyder, Linda S; Englund, Janet; Edelman, Charlene K.; Balfour, Henry H.

In: Diagnostic Microbiology and Infectious Disease, Vol. 10, No. 4, 1988, p. 205-212.

Research output: Contribution to journalArticle

Erice, Alejo ; Hertz, Marshall I. ; Snyder, Linda S ; Englund, Janet ; Edelman, Charlene K. ; Balfour, Henry H. / Evaluation of centrifugation cultures of bronchoalveolar lavage fluid for the diagnosis of cytomegalovirus pneumonitis. In: Diagnostic Microbiology and Infectious Disease. 1988 ; Vol. 10, No. 4. pp. 205-212.
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abstract = "Cytomegalovirus (CMV) pneumonitis is one of the most severe manifestations of CMV disease among immunocompromised patients. The diagnosis of CMV pneumonitis traditionally has required the use of invasive procedures such as lung biopsy. In this retrospective study, we evaluated a centrifugation culture method in samples of bronchoalveolar fluid for the noninvasive diagnosis of CMV pneumonitis. During a 9-mo period, 75 bronchoalveolar lavage samples were collected from 58 patients with pneumonitis. We analyzed the data from 21 patients in whom lung tissue samples were obtained within 14 days of the bronchoalveolar lavage. Centrifugation cultures of bronchoalveolar fluid were positive for CMV in 12 cases. CMV pneumonitis was confirmed in samples of lung tissue from five (42{\%}) of the 12 patients, whereas no evidence of CMV pneumonitis was found in the remaining seven (58{\%}) cases. Of nine patients with negative centrifugation cultures, CMV pneumonitis was confirmed in two (22{\%}). When compared with conventional cultures, we found bronchoalveolar lavage fluid centrifugation cultures to be highly sensitive (100{\%}) and specific (92{\%}) for the detection of CMV infection. However, detection of CMV by centrifugation culture proved to be only moderately sensitive (71{\%}) and nonspecific (50{\%}) for the diagnosis of CMV pneumonitis.",
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