Joel Ruskin, MD; Jim Nomura, MD
Ruskin J., Nomura J.; Identifying Pneumocystis carinii in Pleural Effusions. Ann Intern Med. 1993;119:1222. doi: 10.7326/0003-4819-119-12-199312150-00013
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Published: Ann Intern Med. 1993;119(12):1222.
TO THE EDITOR:
In their review of pleural effusions in patients with the acquired immunodeficiency syndrome (AIDS), Joseph and colleagues  attribute 15% (nine cases) to Pneumocystis carinii pneumonia. The organism was recovered in sputum or bronchoalveolar lavage, and the pneumonia and effusion resolved after specific therapy. Pleural fluid was obtained from only two of these patients and was not examined with special stains for the presence of P. carinii. We describe a case of P. carinii pneumonia that was diagnosed from a finding of organisms in routine stains of pleural fluid.
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