PNEUMOCYSTIS-CARINII PNEUMONIA IN PATIENTS WITHOUT PREDISPOSING ILLNESSES - ACUTE EPISODE AND FOLLOW-UP OF 5 CASES

被引:43
作者
CANO, S [1 ]
CAPOTE, F [1 ]
PEREIRA, A [1 ]
CALDERON, E [1 ]
CASTILLO, J [1 ]
机构
[1] HOSP UNIV VIRGEN ROCIO, PNEUMOL SERV, SEVILLE, SPAIN
关键词
D O I
10.1378/chest.104.2.376
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pneumocystis carinii pneumonia (PCP) is described almost exclusively in immunocompromised hosts. This report describes our experience with acute episodes and the follow-up of five patients with PCP who had no known predisposing conditions. The average follow-up period was 3.6 years (range, 2.6 to 4 years). Lymphocyte subpopulations (CD4, CDS, and CD4:CDS), serum immunoglobulins (IgG, IgM, and IgA), and serologic studies for human immunodeficiency virus were carried out on all patients at least twice, both at the beginning and the end of the follow-up. None of the patients presented compatible data with AIDS or any other identifiable risk factors. We conclude that PCP can occur in patients who apparently do not have immunosuppression.
引用
收藏
页码:376 / 381
页数:6
相关论文
共 37 条
[1]  
BALACHANDRAN I, 1990, ACTA CYTOL, V34, P486
[2]  
BRAUMANN WR, 1986, CRIT CARE MED, V14, P1
[3]   PNEUMOCYSTIS-CARINII INFECTION [J].
BURKE, BA ;
GOOD, RA .
MEDICINE, 1973, 52 (01) :23-51
[4]   MYCOPLASMAS AS AGENTS OF HUMAN-DISEASE [J].
CASSELL, GH ;
COLE, BC .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 304 (02) :80-89
[5]   CUTANEOUS PNEUMOCYSTOSIS [J].
COULMAN, CU ;
GREENE, I ;
ARCHIBALD, RWR .
ANNALS OF INTERNAL MEDICINE, 1987, 106 (03) :396-398
[6]   ROENTGENOGRAPHIC PATTERNS OF PNEUMOCYSTIS-CARINII PNEUMONIA IN 104 PATIENTS WITH AIDS [J].
DELORENZO, LJ ;
HUANG, CT ;
STONE, DJ .
CHEST, 1987, 91 (03) :323-327
[7]  
ESTERLY JA, 1968, AM REV RESPIR DIS, V97, P935
[8]  
FERNALD GW, 1982, REV INFECT DIS, V4, pS201
[9]   PNEUMOCYSTIS CARINII [J].
HAMLIN, WB .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1968, 204 (02) :173-&
[10]  
HEINZEL FP, 1989, HOSP PRACT, V24, P99