The Indian Journal of Pediatrics

, Volume 71, Issue 2, pp 129–132 | Cite as

Transthoracic lung aspiration in etiology of pneumonia

  • K. G. R. Kumar
  • Sameer Bakhshi
  • J. C. Samantaray
  • U. Banerjee
  • L. S. Arya
Original Article


Transthoracic lung aspiration was performed in 30 episodes of pneumonia in 27 children with malignancy on chemotherapy to assess etiology of pulmonary infections. Total of 22 organisms were isolated in 16/30 (53.3%) episodes. No acid fast bacilli orPneumocystis carinii were seen. Organisms grown by blood culture correlated with that of lung puncture in 5 episodes, while throat culture and nasopharyngeal organisms correlated with that of lung puncture on one occasion each. Organisms isolated in 8/18 episodes (44.4%) of antemorten transthoracic aspiration included :Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli, Streptococcus faecalis andDiphtheroids. In 3/18 episodes, lung puncture results altered treatment and thus resulted in survival of the patients. Only one minor complication occurred in this study-pneumothorax that resolved spontaneously. Thus, transthoracic lung puncture is an useful and safe procedure in immunocompromised patients with pneumonia who do not respond to initial broad spectrum antibiotics.

Key words

Transthoracic aspiration Lung puncture Pneumonia Malignancy 


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  1. 1.
    Matthay RA, Greene WH. Pulmonary infections in immunocompromised patient.Med Clinics N America 1980; 61: 529–551.Google Scholar
  2. 2.
    Sickles SA, Young WM, Greene WH. Pneumonia in acute leukemia.Sann Intern Med 1973; 79: 528–534.Google Scholar
  3. 3.
    Klein JO. Diagnostic lung puncture in the pneumonias of infants and children.Pediatrics 1969; 44: 486–492.PubMedGoogle Scholar
  4. 4.
    Davidson MD, Palmer T. Bacteriologic diagnosis of acute pneumonia: comparison of sputum, transtracheal aspirate and lung aspirate.JAMA 1976; 235: 158–163.PubMedCrossRefGoogle Scholar
  5. 5.
    Burt ME, Flye MW, Webber BL, Path FE, Wesley RA. Prospective evaluation of aspiration needle, cutting needle, transbronchial and open lung biopsy in patients with pulmonary infiltrates.Ann Thor Surg 1981; 32: 146–150.CrossRefGoogle Scholar
  6. 6.
    Prober CG, Whyte H, Smith CR. Open lung biopsy in immunocompromised children with pulmonary infiltrates.Am J Dis Child 1984; 138: 60–63.PubMedGoogle Scholar
  7. 7.
    Greenman RL, Goodall PT, King D. Lung biopsy in immunocompromised hosts.Am J Med 1975; 59: 488–496.PubMedCrossRefGoogle Scholar
  8. 8.
    Torrs A, Jimenez P, Bellacasa, JP, Celis R, Gonzalez J, Gea J. Diagnostic value of non-flouroscopic percutaneous lung needle aspiration in patients with pneumonia.Chest 1990; 98: 840–844.CrossRefGoogle Scholar
  9. 9.
    Igor Mimica, Edwardo D, Howard JE, Ledermann GW. Lung puncture in the etiological diagnosis of pneumonia.Am J Dis Child 1971; 122: 278–282.Google Scholar
  10. 10.
    Bandt PD, Blank N, Castellino RA. Needle diagnosis of pneumonia: value in high risk patients.JAMA 1972; 220 : 1578–1580.PubMedCrossRefGoogle Scholar
  11. 11.
    Gherman CR, Simon HJ. Pneumonia complicating severe underlying diseasae: A current appraisal of transthoracic lung puncture.Dis of Chest 1965; 48 : 297–304.CrossRefGoogle Scholar
  12. 12.
    Pulmer DL, Davidson MD, Lusk R. Needle aspiration of lung in complex pneumonias.Chest 1980; 78: 16–21.CrossRefGoogle Scholar
  13. 13.
    Castellino RA, Blank N, Etiologic diagnosis of focal pulmonary infection in immunocompromised patients by flouroscopically guided percutaneous needle aspiration.Radiology 1979; 132: 563–567.PubMedGoogle Scholar
  14. 14.
    Chaudhary S, Hughes WT, Feldman S, Sanyal SK, Coburn T, Ossi Met al. Percutaneous transthoracic needle aspiration of the lung.Am J Dis Child 1977; 131: 902–907.PubMedGoogle Scholar
  15. 15.
    Padmanjali KS, Bakshi S, Khattar A, Kapil A, Arya LS. Infections in children with acute lymphoblastic leukemia.Ind J Pediatr (Supple 2) 2002; 69: S25.Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2004

Authors and Affiliations

  • K. G. R. Kumar
    • 2
  • Sameer Bakhshi
    • 2
  • J. C. Samantaray
    • 1
    • 2
  • U. Banerjee
    • 1
    • 2
  • L. S. Arya
    • 2
  1. 1.Department of MicrobiologyAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia

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