Abstract
A direct fluorescent antibody (DFA) method was applied to sputum or tracheal aspirate from 68 patients with clinical or radiological evidence suggesting Pneumocystis carinii pneumonitis, and to 50 control patients. P. carinii was detected by DFA in specimens from 33 of the 69 clinical cases and 3 of the 50 controls. Specimens of lung from 11 of 33 DFA-positive cases were examined histologically, and 9 were positive. Four of 35 DFA-negative cases were examined histologically, and all were negative. Sputa or tracheal aspirates from 6 patients who were positive by both DFA and histological examination were examined also by methenamine silver staining; none could be diagnosed conclusively by this method. The results indicate that the DFA method is a sensitive and dependable procedure for the laboratory diagnosis of P. carinii pneumonitis in man.
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- Bradshaw M., Myerowitz R. L., Schneerson R., Whisnant J. K., Robbins J. B. Pneumocystis carinii pneumonitis. Ann Intern Med. 1970 Nov;73(5):775–777. doi: 10.7326/0003-4819-73-5-775. [DOI] [PubMed] [Google Scholar]
- Cohen M. L., Weiss E. B. Pneumocystitis carinii pneumonia: percutaneous lung biopsy and review of literature. Chest. 1971 Aug;60(2):195–199. doi: 10.1378/chest.60.2.195. [DOI] [PubMed] [Google Scholar]
- Esterly J. A. Pneumocystis carinii in lungs of adults at autopsy. Am Rev Respir Dis. 1968 May;97(5):935–937. doi: 10.1164/arrd.1968.97.5.935. [DOI] [PubMed] [Google Scholar]
- GROCOTT R. G. A stain for fungi in tissue sections and smears using Gomori's methenamine-silver nitrate technic. Am J Clin Pathol. 1955 Aug;25(8):975–979. doi: 10.1093/ajcp/25.8_ts.0975. [DOI] [PubMed] [Google Scholar]
- Goodell B., Jacobs J. B., Powell R. D., DeVita V. T. Pneumocystis carinii: the spectrum of diffuse interstitial pneumonia in patients with neoplastic diseases. Ann Intern Med. 1970 Mar;72(3):337–340. doi: 10.7326/0003-4819-72-3-337. [DOI] [PubMed] [Google Scholar]
- Jacobs J. B., Vogel C., Powell R. D., DeVita V. T. Needle biopsy in pseudocystis carinii pneumonia. Radiology. 1969 Sep;93(3):525–530. doi: 10.1148/93.3.525. [DOI] [PubMed] [Google Scholar]
- Johnson H. D., Johnson W. W. Pneumocystic carinii pneumonia in children with cancer. Diagnosis and treatment. JAMA. 1970 Nov 9;214(6):1067–1073. [PubMed] [Google Scholar]
- Lim S. K., Eveland W. C., Porter R. J. Development and evaluation of a direct fluorescent antibody method for the diagnosis of Pneumocystis carinii infections in experimental animals. Appl Microbiol. 1973 Nov;26(5):666–671. doi: 10.1128/am.26.5.666-671.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Luna M. A., Bodey G. P., Goldman A. M., Lichtiger B. Pneumocystis carinii pneumonitis in cancer patients. Tex Rep Biol Med. 1972 Spring;30(1):41–56. [PubMed] [Google Scholar]
- Norman L., Kagan I. G. A preliminary report of an indirect fluorescent antibody test for detecting antibodies to cysts of Pneumocystis carinii in human sera. Am J Clin Pathol. 1972 Aug;58(2):170–176. doi: 10.1093/ajcp/58.2.170. [DOI] [PubMed] [Google Scholar]
- ROBBINS J. B., MILLER R. H., AREAN V. M., PEARSON H. A. SUCCESSFUL TREATMENT OF PNEUMOCYSTIS CARINII PNEUMONITIS IN A PATIENT WITH CONGENITAL HYPOGAMMAGLOBULINEMIA. N Engl J Med. 1965 Apr 8;272:708–713. doi: 10.1056/NEJM196504082721402. [DOI] [PubMed] [Google Scholar]
- Rifkind D., Faris T. D., Hill R. B., Jr Pneumocystis carinii pneumonia. Studies on the diagnosis and treatment. Ann Intern Med. 1966 Nov;65(5):943–956. doi: 10.7326/0003-4819-65-5-943. [DOI] [PubMed] [Google Scholar]
- Robbins J. B. Pneumocystis carinii pneumonitis. A review. Pediatr Res. 1967 Mar;1(2):131–158. doi: 10.1203/00006450-196703000-00007. [DOI] [PubMed] [Google Scholar]
- Robillard G., Bertrand R., Gregoire H., Berdnikoff G., Favreau-Ethier M. Plasma cell pneumonia in infants. Review of 51 cases. J Can Assoc Radiol. 1965 Sep;16(3):161–168. [PubMed] [Google Scholar]
- Rosen P., Armstrong D., Ramos C. Pneumocystis carinii pneumonia. A clinicopathologic study of twenty patients with neoplastic diseases. Am J Med. 1972 Oct;53(4):428–436. doi: 10.1016/0002-9343(72)90138-6. [DOI] [PubMed] [Google Scholar]
- Ruskin J., Remington J. S. The compromised host and infection. I. Pneumocystis carinii pneumonia. JAMA. 1967 Dec 18;202(12):1070–1074. [PubMed] [Google Scholar]
- SHEFFNER A. L., MEDLER E. M., JACOBS L. W., SARETT H. P. THE IN VITRO REDUCTION IN VISCOSITY OF HUMAN TRACHEOBRONCHIAL SECRETIONS BY ACETYLCYSTEINE. Am Rev Respir Dis. 1964 Nov;90:721–729. doi: 10.1164/arrd.1964.90.5.721. [DOI] [PubMed] [Google Scholar]
- SHELDON W. H. Pulmonary Pneumocystis carinii infection. J Pediatr. 1962 Nov;61:780–791. doi: 10.1016/s0022-3476(62)80355-2. [DOI] [PubMed] [Google Scholar]
- STOPKA E., WUNDERLICH C., CARLSON S. Morphologische und kulturelle Untersuchungen an Pneumocysten in Sputum und Lungenmaterial. Z Kinderheilkd. 1957;79(3):246–263. [PubMed] [Google Scholar]
- Theologides A., Lee J. C. Concomitant opportunistic infection with toxoplasma pneumocystis and cytomegalovirus. Minn Med. 1970 Jun;53(6):615–619. [PubMed] [Google Scholar]