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Molecular Techniques Role of Cytology and Polymerase Chain Reaction Based Detection of Pneumocystis jirovecii Infection in Bronchoalveolar Lavage Fluid Rashmi Gupta, M.Sc., Venkateswaran K. Iyer, M.D., Bijay Ranjan Mirdha, M.D., Randeep Guleria, M.D., Lalit Kumar, M.D., and Sanjay Kumar Agarwal, M.D. Objective croscopy for PCP, while 5 (including 2 microscopy positive) To study the role of cytology and polymerase chain reaction were positive by PCR from BALF. Four of the 5 positive (PCR) for the detection of Pneumocystis carinii pneumo- cases showed predominantly alveolar macrophages, while nia (PCP) in bronchoalveolar lavage fluid (BALF). one showed 40% alveolar macrophages, 30% lymphocytes and 20% neutrophils upon cellular analysis of BALF. One Study Design case had coinfection with Cryptococcus. Destained smear In a prospective observational scrapings of PCR-positive study, a BALF pellet from 55 slides (n = 5) were all success- patients (35 immunosup- fully amplified for PCP major An inflammatory cell population of pressed patients clinically sus- surface glycoprotein PCR after BAL fluid is an important aspect of picious for PCP and 20 im- DNA extraction, while control munocompetent individuals cytologic evaluation and can be used slides (n = 5) did not show am- not suspicious for PCP) were plification. to
Acta Cytologica – Karger
Published: Jan 1, 2011
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