What is the role of bronchoscopy in the evaluation of suspected chemical pneumonitis?

Updated: Aug 15, 2018
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Answer

Bronchoscopy is indicated in patients with chemical pneumonia only when aspiration of a foreign body or food material is suspected. Bronchoscopy with protected brush and a protected catheter are used to retrieve pathogens in bacterial pneumonia and may be helpful in guiding antibiotic therapy particularly when coupled with quantitative culture techniques. This procedure is useful when ruling out the presence of an obstructing neoplasm in anaerobic bacterial pneumonia with lung abscess. However, bronchoscopy is not useful in the treatment of community-acquired aspiration pneumonia.


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