Mukesh Bhatt, MD; Michael Muller, MD; Maria Sabatini, MD
To the Editor: We describe a patient with Pneumocystis carinii pneumonia who presented with a solitary pulmonary nodule. A 29-year-old homosexual man was hospitalized because of a 12-month history of fever and weight loss. A gallium scan had shown increased uptake in the left upper lobe 6 months earlier. Significant findings were oral thrush, axillary lymphadenopathy, and an erythrocyte sedimentation rate of 88 mm/h. A chest roentgenogram showed a left upper lobe nodular infiltrate without hilar lymphadenopathy. Because of a negative evaluation during a previous admission, an excision biopsy of the nodule was done. The resected specimen measured 3 X
Bhatt M, Muller M, Sabatini M. Solitary Pulmonary Granulomatous Pneumocystosis. Ann Intern Med. ;109:343–344. doi: 10.7326/0003-4819-109-4-343_2
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Published: Ann Intern Med. 1988;109(4):343-344.
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