PNEUMOCYSTIS-CARINII OSTEOMYELITIS IN A PATIENT WITH COMMON VARIABLE IMMUNODEFICIENCY

被引:25
作者
ESOLEN, LM
FASANO, MB
FLYNN, J
BURTON, A
LEDERMAN, HM
机构
[1] JOHNS HOPKINS UNIV,SCH MED,DEPT MED,DIV INFECT DIS,BALTIMORE,MD 21205
[2] JOHNS HOPKINS UNIV,SCH MED,DEPT MED,DIV RHEUMATOL,BALTIMORE,MD 21205
[3] JOHNS HOPKINS UNIV,SCH MED,DEPT PEDIAT,EUDOWOOD DIV PEDIAT ALLERGY & IMMUNOL,BALTIMORE,MD 21205
关键词
D O I
10.1056/NEJM199204093261506
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PNEUMOCYSTIS CARINII is a well-known pulmonary pathogen that has been increasingly identified in extrapulmonary sites in patients with the acquired immunodeficiency syndrome (AIDS).1 2 3 4 5 6 7 We describe a case of pneumocystis osteomyelitis that occurred in a patient with common variable immunodeficiency. It was striking that the patient appeared to have normal cell-mediated immunity, including a blastogenic response to pneumocystis antigen. Case Report A 27-year-old black woman with common variable immunodeficiency presented with a one-month history of increasing pain in the left buttock. Common variable immunodeficiency had been diagnosed five years earlier after an evaluation for recurrent infections of the upper and lower. © 1992, Massachusetts Medical Society. All rights reserved.
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收藏
页码:999 / 1001
页数:3
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