Diagnosis of infectious diseases: a cytopathologist's perspective.

C N Powers
Author Information
  1. C N Powers: Department of Pathology, SUNY Health Science Center at Syracuse 13210, USA. powersc@mailbox.hscsyr.edu

Abstract

This review explores the role of the cytopathology laboratory in the detection and presumptive identification of microorganisms. Sample procurement by exfoliation, abrasion, and aspiration techniques, as well as a variety of cytopreparatory and staining methods, is reviewed. Emphasis is placed on the utility of fine-needle aspiration as a rapid, safe, and cost-effective diagnositic procedure. The role of rapid interpretation and specimen triage is also discussed. Cytomorphologic features and staining characteristics are presented for a spectrum of microorganisms potentially encountered in the cytopathology laboratory. Pitfalls in diagnosis and the usefulness of special stains and ancillary techniques are also evaluated. The importance of communication, collaboration, and clinical correlation is stressed.

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MeSH Term

Bacterial Infections
Biopsy, Needle
Cytodiagnosis
Histocytological Preparation Techniques
Humans
Inhalation
Mycoses
Parasitic Diseases
Specimen Handling
Staining and Labeling
Virus Diseases

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