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Special Considerations


This article may contain information on medical procedures that are not recommended or endorsed by Catholic Health Partners. Promotion of this topic is prohibited by the Ethical and Religious Directives for Catholic Health Services. In the Ethical and Religious Directives, Catholic health institutions are prohibited from condoning contraceptive practices. Married couples should be given information about natural family planning as well as the church’s teachings on responsible parenthood. The information in this article is designed for educational purposes only. It is not provided as a professional service or as medical advice for specific patients.

Pleural fluid Gram stain

Definition

The pleural fluid Gram stain is a test to diagnose bacterial infections in the lungs.

Alternative Names

Gram stain of pleural fluid

How the test is performed

Pleural fluid is found in the space around the lungs. In a variety of diseases, an abnormal amount of pleural fluid builds up in the lungs.

A sample of the pleural fluid is needed for this test. For information on how the sample is obtained, see: Thoracentesis

The fluid sample is placed onto a microscope slide and mixed with a violet stain (called a Gram stain). A laboratory specialist uses a microscope to look for bacteria on the slide. If bacteria are present, the color, number, and structure of the cells are used to identify the specific organism.

How to prepare for the test

See: Thoracentesis

How the test will feel

See: Thoracentesis

Why the test is performed

The test is performed when the health care provider suspects an infection of the pleural space, or when a chest x-ray reveals an abnormal collection of pleural fluid.

Normal Values

Normally, no organisms are present in the pleural fluid.

Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

You may have a bacterial infection of the lining of the lungs (pleura).

What the risks are

See: Thoracentesis

Special considerations

References

Celli BR. Diseases of the diaphragm, chest wall, pleura, and mediastinum. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 100.

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      Review Date: 11/15/2009

      Review By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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