Rapid diagnostic evaluation of bronchial washings in patients with suspected coccidioidomycosis

George A. Sarosi, James P. Lawrence, Deborah K. Smith, Allan Thomas, Dan W. Hobohm, Peter C. Kelley

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Coccidioidomycosis is a regionally common fungal infection, primarily affecting the lung. While in the majority of cases the tempo of the disease allows for a more leisurely diagnostic plan, including multiple serologic tests and culture of respiratory secretions, occasionally, patients will present with rapidly progressive, life-threatening pulmonary illness, in whom there is an urgent need for rapid diagnosis. Evaluation of respiratory secretions including expectorated sputum as well as bronchial washings are frequently available or obtained for diagnosing pulmonary infiltrates. We compared the sensitivity of the Papanicolaou stain with 10% potassium hydroxide digestion (10% KOH) and with calcofluor white (cw).The Papanicolaou test performed the best and should be used in the evaluation of suspected patients with coccidioidomycosis.

Original languageEnglish (US)
Pages (from-to)238-241
Number of pages4
JournalSeminars in Respiratory Infections
Volume16
Issue number4
DOIs
StatePublished - Dec 1 2001

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