Corticosteroids for Pneumocystis Pneumonia
Authors: Gregory R. Mason
Journal: Annals of Internal Medicine (1990)

Letters15 November 1990Corticosteroids for Pneumocystis PneumoniaGregory R. Mason, MDGregory R. Mason, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-10-803_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: Montaner and colleagues (1) are to be commended for their study of corticosteroids and Pneumocystis pneumonia. Masur and Kovacs (2), likewise, should be commended for their carefully worded attempt to put this study Into perspective. The tentative recommendations that they put forth in their editorial require additional caveats both for patient care and for our current understanding of the role of steroids in treating this infection. We must ask whether steroid therapy is now considered appropriate for most patients who are even suspected of having this infection.Ongoing trials will apparently show increased survival with "early" institution...References1. MontanerLawsonLevittBeizbergSchechterRuedy JLNAMJ. Corticosteroids prevent early deterioration in patients with moderately severe Pneumocystis carinii pneumonia and the acquired immunodeficiency syndrome (AIDS). Ann Intern Med. 1990; 113:14-20. LinkGoogle Scholar2. KovacsMasur JH. Are corticosteroids beneficial as adjunctive therapy for Pneumocystis pneumonia in AIDS? Ann Intern Med. 1990;113:1-3. LinkGoogle Scholar3. WhartonColemanWofsy JDC. Trimethoprim-sulfa-methoxazole or pentamidine for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. Ann Intern Med. 1986; 105:37-44. LinkGoogle Scholar1. MontanerLawsonLevittBeizbergSchechterRuedy JLNAMJ. Corticosteroids prevent early deterioration in patients with moderately severe Pneumocystis carinii pneumonia and the acquired immunodeficiency syndrome (AIDS). Ann Intern Med. 1990,113:14-20. LinkGoogle Scholar2. KovacsMasur JH. Are corticosteroids beneficial as adjunctive therapy for Pneumocystis pneumonia in AIDS? Ann Intern Med. 1990;113:1-3. LinkGoogle Scholar3. BozzetteWuSattler SAF. A randomized controlled trial of corticosteroids in Pneumocystis carinii pneumonia [Abstract 1068J. Abstracts of the 29th Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, DC: American Society of Microbiology; 1989:283. Google Scholar4. ClementEdisonTurner MRR. Corticosteroids as adjunctive therapy in severe Pneumocystis carinii pneumonia: a prospective, placebo-controlled trial [Abstract]. Am Rev Respir Dis. 1989;139: A250. Google Scholar5. McGladreyRoncoRussell JJJ. Changing outcome of mechanically ventilated acute respiratory failure secondary to AIDS-related PCP. Sixth International Conference on AIDS. San Francisco, California, 21-24 June 1990. 1990;1:223. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Harbor-UCLA Medical Center Torrance, CA 90509 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 November 1990Volume 113, Issue 10Page: 803-804KeywordsPatientsPneumocystisPneumoniaSteroid therapySteroids Issue Published: 15 November 1990 PDF DownloadLoading ...