Oleh W. Hnatiuk, MD; Thomas A. Dillard, MD; Charles N. Oster, MD
Pneumothorax has been reported with increasing frequency in patients with the acquired immunodeficiency syndrome (AIDS). Recurrent pneumothorax after therapy with tube thoracostomy alone (1-3) and also after tetracycline sclerotherapy (4, 5) has been reported. Thoracotomy with surgical repair, with or without pleurodesis, is considered to be the next step in treating this complication in patients with AIDS who have Pneumocystis carinii infection. We report a case of P. carinii pneumonia and AIDS in which successful sclerotherapy with bleomycin, after tetracycline failure, resulted in avoiding the morbidity associated with surgery.
A 26-year-old white woman with AIDS had a right-sided
Hnatiuk OW, Dillard TA, Oster CN. Bleomycin Sclerotherapy for Bilateral Pneumothoraces in a Patient with AIDS. Ann Intern Med. ;113:988–990. doi: 10.7326/0003-4819-113-12-988
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Published: Ann Intern Med. 1990;113(12):988-990.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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