Document 0088
 DOCN  M9490088
 TI    The role of flexible bronchoscopy in children with AIDS: an update of
       the New York University experience.
 DT    9411
 AU    Lebowitz RA; Sculerati N; Lawrence RM; Ambrosino MM; Department of
       Otolarygology, New York University School of; Medicine, NY 10016.
 SO    Int J Pediatr Otorhinolaryngol. 1994 Jul;30(1):51-6. Unique Identifier :
       AIDSLINE MED/94321109
 AB    The clinical courses of children with acquired immunodeficiency syndrome
       (AIDS) who underwent diagnostic flexible bronchoscopy at Bellevue
       Hospital from 1987-1992 were reviewed to determine the value of the
       procedure in patient management. Twenty-eight children (age 13 days to
       12 years) underwent 31 bronchoscopies for indications including
       respiratory distress, fever and abnormal chest radiograph. Procedures
       were well tolerated. Complications were limited to transient hypoxia and
       epistaxis. Although 58% of bronchoscopies yielded a diagnosis
       (Pneumocystis carinii, Streptococcus viridans, Pseudomonas aeruginosa,
       Cytomegalovirus, atypical mycobacterium, giant cell pneumonia, and
       mechanical obstruction), empiric medical therapy was altered in only 16%
       of cases. Bronchoscopic diagnoses are correlated with Centers for
       Disease Control (CDC) classification, immune status, treatment and
       outcome.
 DE    Acquired Immunodeficiency Syndrome/COMPLICATIONS/MORTALITY/  *THERAPY
       AIDS-Related Opportunistic Infections/*DIAGNOSIS/MORTALITY/
       PHYSIOPATHOLOGY  Bronchoscopy/ADVERSE EFFECTS/*METHODS  Child  Child,
       Preschool  Female  Human  Infant  Infant, Newborn  Male
       Pneumonia/*DIAGNOSIS/*ETIOLOGY  Survival Rate  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).