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Cutaneous Pneumocystosis

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▸Requests for reprints should be addressed to Ira Greene, M.D.; Department of Medicine, Santa Clara Valley Medical Center, 751 South Bascom Avenue; San Jose, CA 95128.

San Jose and Stanford, California

© 1987 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1987;106(3):396-398. doi:10.7326/0003-4819-106-3-396
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A 42-year-old man with the acquired immunodeficiency syndrome (AIDS) presented with a 9-month history of progressive hearing loss and bilateral external auditory canal masses. Biopsy of the right ear mass detected Pneumocystis carinii. The patient was treated with a 7-day course of intravenous trimethoprim, followed by a 3-week course of oral trimethoprim-sulfamethoxazole, with a marked reduction in the size of his ear masses. This is the first reported case of skin involvement by P. carinii in a patient with AIDS. Because of our patient's documented response to treatment, we stress the importance of biopsy of cutaneous lesions in this group of patients, who may have a potentially treatable condition.





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