Article ; Online: How a discerning cytological examination can aid in the diagnosis of infectious diseases: case reports.
2021 Volume 54, Issue 2, Page(s) e10462
Abstract: Infections caused by uncommon and resistant pathogens in unusual sites have been increasingly reported in medical literature. We describe four cases of rare cytological findings and clinical impact for patients. In the first case, Aspergillus sp and ... ...
Abstract | Infections caused by uncommon and resistant pathogens in unusual sites have been increasingly reported in medical literature. We describe four cases of rare cytological findings and clinical impact for patients. In the first case, Aspergillus sp and Pneumocystis jirovecii were observed in the bronchoalveolar lavage of a patient with severe systemic lupus. In the second and third cases, we describe the presence of Trichomonas sp and Strongyloides sp larvae in samples of pleural and peritoneal fluid, respectively. The fourth report is about a patient with a wrist subcutaneous nodule whose synovial aspiration and cytology revealed the presence of brown septate hyphae. The early identification of the infectious agent in the cytological examination was essential for the introduction and/or re-adaptation of therapy in the four cases described. Patients in this report were immunocompromised with severe comorbidities, conditions often associated with unfavorable clinical outcomes. |
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MeSH term(s) | Animals ; Ascitic Fluid/parasitology ; Aspergillus/isolation & purification ; Bronchoalveolar Lavage Fluid/microbiology ; Communicable Diseases/diagnosis ; Cytodiagnosis/methods ; Fatal Outcome ; Female ; Humans ; Male ; Middle Aged ; Pleural Effusion/parasitology ; Pneumocystis carinii/isolation & purification ; Strongyloides/isolation & purification ; Strongyloidiasis/diagnosis ; Trichomonas/isolation & purification ; Trichomonas Infections/diagnosis |
Language | English |
Publishing date | 2021-01-08 |
Publishing country | Brazil |
Document type | Case Reports ; Journal Article |
ZDB-ID | 786234-9 |
ISSN | 1414-431X ; 0100-879X |
ISSN (online) | 1414-431X |
ISSN | 0100-879X |
DOI | 10.1590/1414-431X202010462 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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