Cited by 204Tuberculosis Research and EpidemiologyPleural and Pulmonary DiseasesInfectious Diseases and Tuberculosis

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Yield of Sputum Induction in the Diagnosis of Pleural Tuberculosis

Conde, Marcus B., Loivos, Angela Chindamo, Rezende, Valeria M., Soares, Sergio L. M., Mello, Fernanda C. Q., Reingold, Arthur L., Daley, Charles L., Kritski, Afranio L.·2003·American Journal of Respiratory and Critical Care Medicine

DOI 10.1164/rccm.2111019

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Abstract

We prospectively evaluated the diagnostic yield of acid-fast bacilli smear and culture for Mycobacterium tuberculosis using sputum induction (SI) in the workup of patients with suspected pleural tuberculosis (TB) who were unable to produce sputum spontaneously. Of the 113 patients studied, a final diagnosis of pleural TB was made in 84 patients (71 HIV seronegative) and a final diagnosis of another disease in 29 patients. Histopathologic examination of the pleural biopsy tissue had the highest diagnostic yield (78%; 66/84). The bacteriologic yield was 62% (52/84) for the pleural tissue, 12% (10/84) for pleural fluid, and 52% (44/84) for sputum cultures obtained by SI. The yield of SI culture for M. tuberculosis was 55% (35/64) in patients with a normal radiograph (except for the pleural effusion) and 45% (9/20) in those with evidence of parenchymal disease suggestive of pulmonary TB (p = 0.6). The yield of sputum cultures obtained by SI is high in patients suspected of having pleural TB even in those cases with no pulmonary parenchymal abnormalities on the chest radiograph.

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Authors: Conde, M. B., Loivos, A. C., Rezende, V. M., Soares, S. L. M., Mello, F. C. Q., Reingold, A. L., Daley, C. L., & Kritski, A. L.
Affiliations: Universidade Federal do Rio de Janeiro (BR)
Divisão de Tisiologia e Pneumologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brazil; School of Public Health, University of California, Berkeley; and Division of Pulmonary and Critical Care Medicine, University of California, San Francisco, California
ORCID: Conde, Marcus B.
Daley, Charles L.
Venue: American Journal of Respiratory and Critical Care Medicine
Publisher: Oxford University Press (OUP)
Published: 2003-03-01
Volume: 167
Issue: 5
Pages: 723-725
ISSN: 1073-449X (ISSN-L)
1535-4970
DOI: 10.1164/rccm.2111019
OpenAlex: W2069211273
Cited by: 204
References: 12
Citations by year: 2026: 2 · 2025: 4 · 2024: 7 · 2023: 7 · 2022: 7 · 2021: 14 · 2020: 8 · 2019: 13 · 2018: 15 · 2017: 11 · 2016: 13 · 2015: 14 · 2014: 10 · 2013: 7 · 2012: 7
FWCI: 3.69
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Journal of Respiratory and Critical Care Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Fogarty International Center (TW0004, D43TW000004)
Topics: Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
Health Sciences › Medicine › Infectious Diseases › Infectious Diseases and Tuberculosis
Keywords: pleural tuberculosis, sputum induction, Mycobacterium tuberculosis, acid-fast bacilli smear, bacterial culture, diagnostic yield, pleural biopsy, pleural fluid, HIV-negative patients, pulmonary tuberculosis
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Biopsy, Data Interpretation, Statistical, Diagnostic Techniques, Respiratory System, Female, HIV Seropositivity, Humans, Male, Middle Aged, Mycobacterium tuberculosis, Pleura, Pleural Effusion, Prospective Studies, Sputum, Radiography, Thoracic, Tuberculosis, Pleural, Chi-Square Distribution, HIV Seronegativity

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Yield of Sputum Induction in the Diagnosis of Pleural Tuberculosis

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