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Otic Infection Due to Pneumocystis carinii in an Apparently Healthy Man with Antibody to the Human Immunodeficiency Virus

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▸Requests for reprints should be addressed to Roger A. Schinella, M.D.; Department of Pathology, New York University School of Medicine, 550 First Avenue; New York, NY 10016.

Bellevue-New York University Medical Center; New York, New York.

Ann Intern Med. 1987;106(3):399-400. doi:10.7326/0003-4819-106-3-399
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This excerpt has been provided in the absence of an abstract.

Pneumocystis carinii rarely presents outside the lung; when it does, it occurs with lung involvement and severe disease. We report a case in which P. carinii presented as an otic polyp in an apparently healthy man. The patient, a former drug addict, had no evidence of pulmonary disease but had antibody to the human immunodeficiency virus (HIV).

A 36-year-old Hispanic man had had several episodes of acute otitis media as a child that required bilateral myringotomy and tube placement. He was aware of progressively decreasing hearing in the left ear, which had become worse in the past year. He had


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