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[Diagnostic bronchoscopy--mycologic and bacteriologic findings]
K Mencl1, P Rozánek, M Otcenásek
1Kreisstation für Hygiene, Abt. Mikrobiologie, CSSR.
Zeitschrift Fur Erkrankungen Der Atmungsorgane
|January 1, 1987
Summary
This study investigated mycotic and bacterial lung infections in 122 patients. Bronchoscopy revealed Candida albicans and Mycobacterium tuberculosis as significant findings in lower airway disease.
Area of Science:
- Medical Microbiology
- Pulmonology
Context:
- Investigated 122 patients with lung disease at the Department of Tuberculosis and Respiratory Diseases, Pardubice Hospital.
- Examined lower respiratory tract infections over 17 months (1982-1983).
Purpose:
- To identify mycotic and bacterial agents in the lower airways of lung disease patients.
- To compare bronchial swab findings with throat swabs.
- To assess the diagnostic value of bronchoscopy in identifying pathogens.
Summary:
- Yeast organisms, notably Candida albicans (68.0%), were isolated from 12 patients' bronchi.
- Aspergillus fumigatus was linked to pulmonary mycetoma in one case.
- Pathogenic bacteria were found in 40 patients, with 47.5% having inflammatory lower airway disease.
- Mycobacterium tuberculosis was identified in three cases, aiding differential diagnosis of infiltrative lung disease.
Impact:
- Highlights the prevalence of specific fungal and bacterial pathogens in lung disease.
- Emphasizes the utility of bronchoscopy with targeted swabbing for microbial diagnosis.
- Discusses challenges of contamination and result reliability in lower airway sampling.