JEFFREY A. GOLDEN, M.D.
To the editor: I read with interest the informative report by Stover and associates (1) on bronchoalveolar lavage and diffuse pulmonary infiltrates in immunosuppressed hosts. I agree that bronchoalveolar lavage is safe and useful, and our own experience corroborates its high yield, especially in certain patient groups such as patients with the acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia (2).
One question that occurred to me on reviewing this report is how to differentiate between cytomegalovirus infection and disease. Previous reports imply the frequent finding of both Pneumocystis carinii pneumonia and cytomegalovirus infection in immunosuppressed patients. In our
GOLDEN JA. Cytomegalovirus Infection or Disease. Ann Intern Med. ;101:882–883. doi: 10.7326/0003-4819-101-6-882_3
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Published: Ann Intern Med. 1984;101(6):882-883.
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