PNEUMOCYSTIS-CARINII PNEUMONIA PRESENTING AS AN UPPER LOBE CAVITY AFTER AEROSOLIZED PENTAMIDINE PROPHYLAXIS IN AN HIV-INFECTED PATIENT

被引：1

作者：

EWIG, S

ROCKSTROH, JK

CHRIST, F

机构：

[1] UNIV BONN,RADIOL RADIOL KLIN,W-5300 BONN,GERMANY

[2] UNIV BONN,MED KLIN,DEPT INTERNAL MED,ZENTRUM INNERE MED,W-5300 BONN,GERMANY

来源：

SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES | 1993年 / 25卷 / 03期

关键词：

D O I：

10.3109/00365549309008514

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

We describe an atypical diagnostic feature of a breakthrough Pneumocystis carinii pneumonia (PCP) during primary prophylaxis with aerosolized pentamidine. Our case disclosed infiltrates restricted to the left upper lobe. After 2 weeks a solitary cavity developed. Diagnosis was easily established by bronchoalveolar lavage when performed in the affected segment bronchus. Cavitation clearly demonstrated localized infection, with tissue destruction as one main pathogenetic pattern of a breakthrough PCP during aerosolized pentamidine prophylaxis.

引用

收藏

页码：379 / 383

页数：5

相关论文

共 10 条

[1] PNEUMOCYSTIS-CARINII PNEUMONIA PRESENTING AS CAVITATING AND NONCAVITATING SOLITARY PULMONARY NODULES IN PATIENTS WITH THE ACQUIRED-IMMUNODEFICIENCY-SYNDROME [J].

BARRIO, JL ;

SUAREZ, M ;

RODRIGUEZ, JL ;

SALDANA, MJ ;

PITCHENIK, AE .

AMERICAN REVIEW OF RESPIRATORY DISEASE, 1986, 134 (05) :1094-1096

[2] DIGITAL NECROSIS AND DISSEMINATED PNEUMOCYSTIS-CARINII INFECTION AFTER AEROSOLIZED PENTAMIDINE PROPHYLAXIS [J].

DAVEY, RT ;

MARGOLIS, D ;

KLEINER, D ;

DEYTON, L ;

TRAVIS, W .

ANNALS OF INTERNAL MEDICINE, 1989, 111 (08) :681-682

[3] EVIDENCE FOR DESTRUCTION OF LUNG TISSUES DURING PNEUMOCYSTIS-CARINII INFECTION [J].

ENG, RHK ;

BISHBURG, E ;

SMITH, SM .

ARCHIVES OF INTERNAL MEDICINE, 1987, 147 (04) :746-749

[4] PNEUMOCYSTIS-CARINII PLEUROPNEUMONIA AFTER AEROSOLIZED PENTAMIDINE PROPHYLAXIS [J].

EWIG, S ;

VONKEMPIS, J ;

ROCKSTROH, J ;

STEUDEL, A ;

VOGEL, J ;

NIESE, D .

INFECTION, 1991, 19 (06) :442-444

[5] PNEUMOCYSTIS-CARINII PNEUMONIA MANIFESTED AS A HILAR MASS AND CAVITARY LESION - AN ATYPICAL PRESENTATION IN A PATIENT RECEIVING AEROSOLIZED PENTAMIDINE PROPHYLAXIS [J].

JUDSON, MA ;

POSTIC, B ;

WEIMAN, DS .

SOUTHERN MEDICAL JOURNAL, 1990, 83 (11) :1309-1312

[6] AEROSOLIZED PENTAMIDINE - EFFECT ON DIAGNOSIS AND PRESENTATION OF PNEUMOCYSTIS-CARINII PNEUMONIA [J].

JULESELYSEE, KM ;

STOVER, DE ;

ZAMAN, MB ;

BERNARD, EM ;

WHITE, DA .

ANNALS OF INTERNAL MEDICINE, 1990, 112 (10) :750-757

[7]

MILLIGAN SA, 1985, AM REV RESPIR DIS, V132, P1124

[8]

PINCUS PS, 1987, S AFR MED J, V72, P871

[9] PNEUMOTHORAX IN AIDS [J].

SEPKOWITZ, KA ;

TELZAK, EE ;

GOLD, JWM ;

BERNARD, EM ;

BLUM, S ;

CARROW, M ;

DICKMEYER, M ;

ARMSTRONG, D .

ANNALS OF INTERNAL MEDICINE, 1991, 114 (06) :455-459

[10] CAVITARY PNEUMOCYSTIS-CARINII PNEUMONIA IN PATIENTS RECEIVING AEROSOL PENTAMIDINE PROPHYLAXIS [J].

STEIN, DS ;

WEEMS, JJ .

SOUTHERN MEDICAL JOURNAL, 1991, 84 (02) :273-275