Rapid diagnosis of pulmonary coccidioidomycosis. Cytologic v potassium hydroxide preparations

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Abstract

In 26 patients with culture-proved pulmonary coccidioidomycosis, cytologic preparations of respiratory secretions were significantly more sensitive (38.5%) than potassium hydroxide (KOH) preparations (15.4%) in identifying spherules of Coccidioides immitis. Those patients able to produce sputum or having multiple-lobe pneumonitis on chest roentgenogram appeared to be more likely to have spherules identified in the sputum by either technique. In the absence of sputum production or multiple-lobe pneumonitis, neither cytologic nor KOH preparations were likely to disclose spherules. Because of its greater sensitivity, a cytologic preparation should be examined in addition to a KOH preparation when pulmonary coccidioidomycosis is a clinical consideration.

Original languageEnglish (US)
Pages (from-to)723-725
Number of pages3
JournalArchives of Internal Medicine
Volume143
Issue number4
DOIs
StatePublished - 1983

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Coccidioidomycosis
Sputum
Lung
Pneumonia
Coccidioides
Thorax
potassium hydroxide

ASJC Scopus subject areas

  • Internal Medicine

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Rapid diagnosis of pulmonary coccidioidomycosis. Cytologic v potassium hydroxide preparations. / Warlick, M. A.; Quan, Stuart F; Sobonya, Richard E.

In: Archives of Internal Medicine, Vol. 143, No. 4, 1983, p. 723-725.

Research output: Contribution to journalArticle

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