Related Experiment Video
Updated: Apr 27, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
Diagnosis of the primary infection by pneumocystis in autopsy specimens from two infants using lung impression smears
Carolina A Ponce1, Rebeca I Bustamante1, Myriam Gallo2
1Biomedical Sciences Institute, University of Chile School of Medicine, Independencia 1027, 8380453 Santiago, Chile.
Abstract:
The primary infection by Pneumocystis of normal, healthy infants is asymptomatic and goes undiagnosed. Microscopy diagnosis of Pneumocystis was sought in lung impression smears (LIS) from two ~3-month-old infants dying unexpectedly in the community. Pneumocystis nuclei and cysts were identified using Hema-Gurr with subsequent Gomori-Grocott staining in the same spot documenting that these stains may be complementary. LIS provide for an observer-dependent, inexpensive, and ready-available method for detection of Pneumocystis in infant lungs.
Insights
Pneumocystis infection in infants is often undetected. Lung impression smears (LIS) with Hema-Gurr and Gomori-Grocott stains offer a complementary, accessible method for diagnosing Pneumocystis in infant lungs.
Area of Science:
- Pediatric Pathology
- Infectious Diseases
- Microbiology
Background:
- Pneumocystis infection in healthy infants is typically asymptomatic and undiagnosed.
- Unexpected infant deaths may involve undiagnosed infections.
Purpose of the Study:
- To investigate the utility of lung impression smears (LIS) for diagnosing Pneumocystis in infant cases.
- To evaluate complementary staining methods for Pneumocystis detection.
Main Methods:
- Microscopic examination of lung impression smears (LIS) from two deceased infants.
- Application of Hema-Gurr stain followed by Gomori-Grocott stain on the same smear.
- Identification of Pneumocystis nuclei and cysts.
Main Results:
- Pneumocystis nuclei and cysts were successfully identified in the infant lung samples.
- Hema-Gurr and Gomori-Grocott staining proved complementary for Pneumocystis visualization.
- LIS demonstrated potential as a diagnostic tool.
Conclusions:
- Lung impression smears (LIS) are a viable, cost-effective, and readily available method for detecting Pneumocystis in infant lungs.
- Complementary staining techniques enhance diagnostic accuracy for Pneumocystis in pediatric cases.
Related Concept Videos
Pneumonia III: Complications and Assessment
Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction
Atypical Pneumonia

