The patient proceeded to bronchoalveolar lavage, with specimens sent for MC&S and cytology. 

Culture:

MICROSCOPY / GRAM STAIN

  • Pus Cells +
  • Squamous Epithelial Cells Not Detected
  • Gram positive cocci +

CULTURE

Streptococcus agalactiae (group B) ++

Cytology:

MICROSCOPIC DESCRIPTION: The smears are composed of acute inflammatory exudate with occasional scattered bronchial cells in the background. No fungal elements demonstrated on Grocott stain. No malignant cells are identified.

DIAGNOSIS: Bronchial Washings: Acute inflammation; negative for malignancy.

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