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Table 4 - Definitive Diagnostic Techniques for Diseases Indicative of AIDS
Indicator Disease Microscopy Microbiologic Serum Clinical
for AIDS (cytology, histology) Culture Serology Criteria
Candidiasis H&E,PAS,GMS - - Gross Appearance
Cervical cancer H&E - - -
Coccidioides immitis H&E,PAS,GMS Fungal Antigen -
Cryptococcus neoformans H&E,PAS,GMS Fungal Antigen -
Cryptosporidium H&E,AFB - - -
Cytomegalovirus H&E,IPX Viral Antigen -
Encephalopathy, HIV - - - Clinical Features
Herpes simplex virus H&E,IPX Viral Antigen -
Histoplasma capsulatum H&E,PAS,GMS Fungal Antigen -
HIV wasting syndrome - - - Clinical Features
Isosporiasis H&E,AFB - - -
Kaposi's sarcoma H&E - - -
LIP H&E - - -
Malignant Lymphoma H&E,IPX - - -
Mycobacteria - Mycobacterial - -
PML H&E,IPX - - -
Pneumocystis pneumonia GMS,Giemsa,IPX - - -
Pneumonia, recurrent - Routine - Clinical Features
Salmonellosis - Routine - -
Toxoplasma gondii H&E,IPX - - -
Key: H&E=routine hematoxylin and eosin stain; IPX=immunohistochemical method with specific monoclonal
antibody; GMS=Gomori methenamine silver stain; PAS=periodic acid-Schiff stain; AFB=Ziehl-Neelsen or Kinyoun
acid fast stain; Giemsa=Giemsa stain; LIP=lymphoid interstitial pneumonitis; PML=progressive multifocal
leukoencephalopathy