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Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...

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Diagnostic Necropsy and Selected Tissue and Sample Collection in Rats and Mice
09:13

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Published on: August 7, 2011

Needle necropsy in AIDS.

S Satyanarayana1, A T Kalghatgi, A K Malaviya

  • 1Department of Pathology, Base Hospital, Delhi Cantt. sridharasatyam@rediffmail.com

Indian Journal of Pathology & Microbiology
|March 18, 2004
PubMed
Summary

A novel needle necropsy protocol offers a safe method for diagnosing diseases in HIV-infected cadavers. This minimally invasive technique successfully identified disseminated tuberculosis, cryptococcosis, and other infections.

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Area of Science:

  • Pathology
  • Infectious Diseases
  • Oncology

Background:

  • Autopsies are crucial for understanding disease progression.
  • Pathologists face risks performing autopsies on HIV-infected cadavers.
  • Minimally invasive autopsy methods are needed to mitigate risks.

Purpose of the Study:

  • To evaluate a low-risk needle necropsy protocol for HIV-infected cadavers.
  • To assess the diagnostic yield of fine needle aspiration cytology, tru-cut biopsies, and microbiological examination.

Main Methods:

  • A needle necropsy protocol was developed using fine needle aspiration cytology, tru-cut biopsies, and microbiological examination.
  • The protocol was applied to 44 HIV-infected cadavers.
  • Samples were analyzed for infectious agents and malignancies.

Main Results:

  • The needle necropsy protocol provided diagnoses in all 44 cases.
  • Disseminated tuberculosis (40.9%) and cryptococcosis (27.2%) were the most common findings.
  • Poly-microbial infections (27.2%) and non-Hodgkin's lymphoma (9%) were also detected.
  • Various infectious agents including Histoplasma capsulatum, Isospora belli, Toxoplasma gondii, Candida sp, and Cryptococcus sp were identified.

Conclusions:

  • Needle necropsy is a viable and effective diagnostic tool for HIV-infected cadavers.
  • This minimally invasive approach reduces risks to personnel while providing comprehensive diagnostic information.
  • Limitations include the lack of gross pathology material and potential inaccessibility of deep-seated lesions.