Lancet (01/13/90) Vol. 335, No. 8681, P. 112
M. Nelson and colleagues from Westminster Hospital, London, recommend
caution with sputum induction used to diagnose Pneumocystis carinii
pneumonia in patients with AIDS. Nelson and colleagues report four
deaths in patients with small pleural effusions; two also had widespread
cutaneous Kaposi's sarcoma. Nausea and coughing are the only reported
side-effects of this procedure, they write, but the four patients who
died experienced a rapid increase in the volume of pre-existing pleural
effusions.