Viruses and Bacteria in Bronchial Samples from Patients with Primary Hypogammaglobulinemia

Viruses and bacteria in bronchoalveolar lavage fluids, protected specimen brush samples, and bronchial biopsies from 14 patients with primary hypogammaglobulinemia (11 patients with common variable immunodeficiency [CVID] and three patients with X-linked agammaglobulinemia [XLA]) were analyzed. At t...

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Veröffentlicht in:American journal of respiratory and critical care medicine 1999-04, Vol.159 (4), p.1199-1204
Hauptverfasser: KAINULAINEN, LEENA, NIKOSKELAINEN, JUKKA, VUORINEN, TYTTI, TEVOLA, KALLE, LIIPPO, KARI, RUUSKANEN, OLLI
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container_end_page 1204
container_issue 4
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container_title American journal of respiratory and critical care medicine
container_volume 159
creator KAINULAINEN, LEENA
NIKOSKELAINEN, JUKKA
VUORINEN, TYTTI
TEVOLA, KALLE
LIIPPO, KARI
RUUSKANEN, OLLI
description Viruses and bacteria in bronchoalveolar lavage fluids, protected specimen brush samples, and bronchial biopsies from 14 patients with primary hypogammaglobulinemia (11 patients with common variable immunodeficiency [CVID] and three patients with X-linked agammaglobulinemia [XLA]) were analyzed. At the time of the study, the patients had no signs of acute respiratory infections, and no antibiotics were administered. In addition to routine bacterial and viral cultures, polymerase chain reaction tests were used for the detection of adenovirus, cytomegalovirus (CMV), herpes simplex virus 1, enterovirus, rhinovirus, Borrelia burgdorferi, Chlamydia pneumoniae, Legionella spp., Mycoplasma pneumoniae, Pneumocystis carinii, and Ureaplasma urealyticum. Viruses (four adenoviruses, one CMV, and one rhinovirus) were detected in four of the 11 (36%) CVID patients. No viruses were found in the three patients with XLA or in 13 control patients. Bacteria from the lower respiratory tract were detected in nine of the 14 (64%) patients with hypogammaglobulinemia and three of the 13 (23%) control patients. Haemophilus influenzae was the most prevalent bacterium (43%) in the hypogammaglobulinemia patients. The study shows that patients with CVID harbor viral and bacterial infections in the lower respiratory tract, which may predispose to the development of changes in the respiratory tract.
doi_str_mv 10.1164/ajrccm.159.4.9807067
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At the time of the study, the patients had no signs of acute respiratory infections, and no antibiotics were administered. In addition to routine bacterial and viral cultures, polymerase chain reaction tests were used for the detection of adenovirus, cytomegalovirus (CMV), herpes simplex virus 1, enterovirus, rhinovirus, Borrelia burgdorferi, Chlamydia pneumoniae, Legionella spp., Mycoplasma pneumoniae, Pneumocystis carinii, and Ureaplasma urealyticum. Viruses (four adenoviruses, one CMV, and one rhinovirus) were detected in four of the 11 (36%) CVID patients. No viruses were found in the three patients with XLA or in 13 control patients. Bacteria from the lower respiratory tract were detected in nine of the 14 (64%) patients with hypogammaglobulinemia and three of the 13 (23%) control patients. Haemophilus influenzae was the most prevalent bacterium (43%) in the hypogammaglobulinemia patients. 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subjects Adolescent
Adult
Agammaglobulinemia - genetics
Agammaglobulinemia - microbiology
Agammaglobulinemia - virology
Aged
AIDS/HIV
Bacteria - isolation & purification
Biological and medical sciences
Bronchi - microbiology
Bronchi - virology
Bronchoalveolar Lavage Fluid - microbiology
Bronchoalveolar Lavage Fluid - virology
Child
Common Variable Immunodeficiency - microbiology
Common Variable Immunodeficiency - virology
Female
Genetic Linkage
Humans
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulinopathies
Immunopathology
Male
Medical sciences
Middle Aged
Polymerase Chain Reaction
Viruses - isolation & purification
X Chromosome
title Viruses and Bacteria in Bronchial Samples from Patients with Primary Hypogammaglobulinemia
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