Mycotic infections at autopsy. A comparative study in two university hospitals.
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Actinomycosis↗
Biomedical subjects
M A Pedraza
Publications and source records attributed to M A Pedraza.
Ultrastructural and Immunological methods in diagnostic pathology in a community hospital.
Five unusual tumors and one case of glomerulonephritis were examined by light microscopy, immunochemical methods, and electron microscopy in order to arrive at a correct diagnosis. We propose that these techniques can be used in community hospitals for selected cases in order to classify certain types of tumors, identify the primary site of some metastatic tumors, and help in the precise classification of some autoimmune diseases.
Adult↗
[Evaluation of the effect of the dilution of urine on the toxicity and isolation of cytomegalovirus using the rapid shell-vial centrifugation culture technique].
Working with highly passaged MRC-5 fibroblast monolayers in a shell-vial culture-centrifugation assay for rapid detection of cytomegalovirus (CMV), a direct toxic effect of the urine on the monolayer was observed in as many as 44% of cases when vials were inoculated with undiluted specimens. This toxicity was reduced to only 6% by inoculation of shell-vials with samples diluted 1:1 with viral transport medium. The recovery of CMV in shell-vials was not significantly affected by the dilution factor, since five cases detected in conventional culture in tubes and not in vials were compensated by seven cases detected in vials and not in tubes.
Artifacts↗
[Cytomegaloviruses in the bronchoalveolar lavage fluids of immunocompromised patients: microbiological results and clinical significance].
We have evaluated the microbiologic output and clinical significance of the detection of cytomegalovirus in 111 bronchoalveolar lavage specimens from immunosuppressed patients with pneumonitis. The samples were simultaneously processed by conventional tube culture and the rapid shell-vial centrifugation culture assay. Cytomegalovirus was recovered from 30 specimens (27%). The rapid shell-vial procedure was more sensitive than the tube culture, but in two cases cytomegalovirus was isolated only in tube cultures. Cytomegalovirus was considered clinically significant in only 3 from 13 HIV positive patients. All culture positive, HIV negative patients received treatment with ganciclovir. However, ganciclovir was never used on culture negative, HIV negative patients and cytomegalovirus related morbi-mortality was not found in these patients. A prospective study is needed to conclude if a cytomegalovirus negative culture also has a treatment exclusion value in HIV positive patients.
Bronchoalveolar Lavage Fluid↗