Terrence G. Sparling, MD; Sunny R. Dong, MApSc, MD; Csaba Hegedus, MD; David R. Burdge, MD
To the Editor: Pulmonary infection with Pneumocystis carinii occurs commonly in patients with the acquired immunodeficiency syndrome (AIDS), but extrapulmonary and disseminated infection remains rare. Previously reported disseminated infection has almost invariably occurred in patients with overwhelming pneumonitis (1). We report a case of disseminated P. carinii infection in a patient with AIDS who received aerosolized pentamidine prophylaxis and who had no evidence of pulmonary disease.
A 27-year-old homosexual man with AIDS presented in October 1988 with fever, weight loss; progressive mediastinal, hilar, and cervical lymphadenopathy; and a rapidly enlarging liver. From January to September 1988 he had
Sparling TG, Dong SR, Hegedus C, Burdge DR. Aerosolized Pentamidine and Disseminated infection with Pneumocystis carinii. Ann Intern Med. ;111:442–443. doi: 10.7326/0003-4819-111-5-442
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Published: Ann Intern Med. 1989;111(5):442-443.
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