Mario C. Raviglione, MD; Gregg R. Garner, MD; Michael P. Mullen, MD
To the editor: Despite the high frequency of lung infections caused by Pneumocystis carinii in immunosuppressed persons, extrapulmonary dissemination rarely occurs (1). Four cases of P. carinii invasion of extrapulmonary sites have been reported in patients with the acquired immunodeficiency syndrome (AIDS) (1-4). The importance of these cases has not been determined.
A 37-year-old homosexual man was hospitalized because of extreme weakness. The patient had two previous episodes of P. carinii pneumonia. Systemic cytomegalovirus infection had also been diagnosed. At admission, severe pancytopenia was found. A chest radiograph showed persistence of the pre-existing bilateral interstitial infiltrates, and a sputum cytologic
Raviglione MC, Garner GR, Mullen MP. Pneumocystis carinii in Bone Marrow. Ann Intern Med. ;109:253. doi: 10.7326/0003-4819-109-3-253_1
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Published: Ann Intern Med. 1988;109(3):253.
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