Table 4.
Final diagnoses and diagnostic technique of patients and co-infection or PKS, Blantyre, Malawi*
Patient | Final diagnosis | Confirmed/probable | Co-infection or PKS |
---|---|---|---|
Bacterial pneumonia | |||
1† | Staphylococcus aureus by BAL culture | Confirmed | PcP by PCR |
2 | Klebsiella pneumoniae by BAL culture | Confirmed | PcP by PCR |
3 | Streptococcus pneumoniae by BAL culture | Confirmed | |
4 | Staphylococcus aureus by BAL culture | Confirmed | Parainfluenzavirus type 1 |
5 | Staphylococcus aureus by BAL culture | Confirmed | PKS |
6 | Staphylococcus aureus by BAL culture | Confirmed | PKS |
7 | Klebsiella pneumoniae by BAL culture and Streptococcus pneumoniae by BC | Confirmed | Coronavirus OC 43 |
8 | Staphylococcus aureus by BAL culture | Confirmed | |
9 | Streptococcus pneumoniae by BC | Confirmed | Respiratory syncytial virus A |
10–11 | Streptococcus pneumoniae by BC | Confirmed | |
12–15† (one death) | No isolate | Probable | |
Pneumocystispneumonia | |||
16† | IF/PCR | Confirmed | Pseudomonas by BAL culture |
17 | IF/PCR | Confirmed | Rhinovirus |
18† | IF/PCR | Confirmed | Cryptococcus neoformans by BC + PKS |
19–25 | IF/PCR | Confirmed | |
26† | IF/no PCR | Confirmed | Rhinovirus + PKS |
27 | PCR | Probable | Coronavirus NL |
28 | PCR | Probable | |
29 | PCR | Probable | |
Pulmonary tuberculosis | |||
30† | ZN/mycobacterial culture | Confirmed | MRSA by BAL culture + rhinovirus |
31–33† (two deaths) | ZN/mycobacterial culture | Confirmed | Enterobacter cloacae by BAL culture |
34 | ZN/mycobacterial culture | Confirmed | |
35 | ZN | Confirmed | PKS |
36† | Mycobacterial culture | Confirmed | Enterobacter cloacae by BAL culture |
37 | Mycobacterial culture | Confirmed | PcP by PCR |
38 | Mycobacterial culture | Confirmed | |
39–40 | No isolate | Probable | |
Viral pneumonitis | |||
41 | Influenza A virus | Probable | |
42 | Bocavirus | Probable | |
43† | Adenovirus | Probable | |
Pulmonary Kaposi's sarcoma | |||
44 | Bronchoscopy | Confirmed | Rhinovirus |
45–51† (one death) | Bronchoscopy | Confirmed |
PKS = pulmonary Kaposi's sarcoma; BAL = bronchioalveolar lavage; PcP = Pneumocystis jirovecii pneumonia; PCR = polymerase chain reaction; BC = blood culture; IF = immunofluorescence; ZN = Ziehl-Neelsen staining; MRSA = methicillin-resistant S. aureus; all viral isolates by PCR.
Died.