دورية
Granulomatous Pneumocystis cariniiPneumonia in Three Patients with the Acquired Immune Deficiency Syndrome
| العنوان: | Granulomatous Pneumocystis cariniiPneumonia in Three Patients with the Acquired Immune Deficiency Syndrome |
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| المؤلفون: | Bleiweiss, Ira J., Jagirdar, Jaishree S., Klein, Michael J., Siegel, Jeffrey L., Krellenstein, Daniel J., Gribetz, Allen R., Strauchen, James A. |
| المصدر: | Chest; September 1988, Vol. 94 Issue: 3 p580-583, 4p |
| مستخلص: | Pneumocystis cariniipneumonia is a frequent manifestation of the acquired immune deficiency syndrome (AIDS). It usually presents radiologically as diffuse bilateral infiltrates and histologically as a foamy, eosinophilic intra-alveolar exudate containing the organisms' cysts. We recently studied two rare cases of P cariniipneumonia presenting as pulmonary nodules on chest x-ray films in two patients with AIDS. The corresponding histologies were a combination of the usual intra-alveolar pattern, with an alveolar and interstitial granulomatous appearance. Pneumocystis cariniiwas present in both areas and was the only organism found in the tissues examined. A third case presented with the more common radiographic appearance but also had a granulomatous histology. We conclude that P cariniipneumonia should be considered in the differential diagnosis of pulmonary nodules in immunocompromised patients and that pathologists should be aware of the possibility of a granulomatous reaction to this organism. (Chest 1988; 94:580-83) |
| قاعدة البيانات: | Supplemental Index |
| تدمد: | 00123692 19313543 |
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| DOI: | 10.1378/chest.94.3.580 |