Toby S. Dyner, MD; William Lang, MD; David F. Busch, MD; Phillip R. Gordon, MD
To the Editor: Whereas Pneumocystis carinii pneumonia is common in patients with human immunodeficiency virus (HIV) infection, pleural and extrapulmonary infection have been thought to be rare. In the past several years, case reports have documented the presence of P. carinii organisms in duodenum, skin, bone marrow, and middle ear (1-4). We report a case of intravascular invasion and extensive involvement of the pleura by P. carinii.
A 31-year-old man had P. carinii pneumonia and cutaneous Kaposi sarcoma diagnosed in October 1986. In December 1986 he began zidovudine, 1200 mg daily. Prophylaxis for P. carinii pneumonia with aerosolized pentamidine, 30
Dyner TS, Lang W, Busch DF, Gordon PR. Intravascular and Pleural Involvement by Pneumocystis carinii in a Patient With the Acquired Immunodeficiency Syndrome (AIDS). Ann Intern Med. ;111:94–95. doi: 10.7326/0003-4819-111-1-94
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Published: Ann Intern Med. 1989;111(1):94-95.
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