Pneumocystis carinii Hepatitis in the Acquired Immunodeficiency Syndrome (AIDS)
Authors: Rita B. Poblete
Journal: Annals of Internal Medicine (1989)

Brief Reports1 May 1989Pneumocystis carinii Hepatitis in the Acquired Immunodeficiency Syndrome (AIDS)Rita B. Poblete, MD, Kassandra Rodriguez, MD, Robert T. Foust, MD, K. Rajender Reddy, MD, Mario J. Saldana, MDRita B. Poblete, MDSearch for more papers by this author, Kassandra Rodriguez, MDSearch for more papers by this author, Robert T. Foust, MDSearch for more papers by this author, K. Rajender Reddy, MDSearch for more papers by this author, Mario J. Saldana, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-9-737 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPneumocystis carinii is the opportunistic pathogen most frequently causing pneumonitis in the acquired immunodeficiency syndrome (AIDS). The extrapulmonary or disseminated form of this infection is unusual in AIDS and other immunodeficiency states, malignancy, or immunosuppression. We report a rare case of P. carinii hepatitis in a patient with AIDS diagnosed before death. The patient had apical pneumonitis and pneumothoraces while taking aerosolized pentamidine for prophylaxis.Case ReportA 33-year-old white homosexual man, diagnosed as having AIDS andP. cariniipneumonia in February and August 1987, was hospitalized in May 1988 with a 3-day history of productive cough, left-sided pleuritic chest...References1. Jarnum S, Rasmussen E, Ohlsen A, and Sorensen A. Generalized Pneumocystis carinii infection with severe idiopathic hypoproteinemia. Ann Intern Med. 1968;68:138-45. LinkGoogle Scholar2. Awen C and Baltzan M. Systemic dissemination of Pneumocystis carinii pneumonia. Can Med Assoc J. 1971;104:809-12. MedlineGoogle Scholar3. Rahimi S. Disseminated Pneumocystis carinii in thymic alymphoplasia. Arch Pathol. 1974;97:162-5. MedlineGoogle Scholar4. Macher A, Bardenstein D, and Zimmerman L. Pneumocystis carinii choroiditis in a male homosexual with AIDS and disseminated pulmonary and extrapulmonary P. carinii infection [Letter]. N Engl J Med. 1987;316:1092. CrossrefMedlineGoogle Scholar5. Unger P, Rosenblum M, and Krown S. Disseminated Pneumocystis carinii infection in a patient with acquired immunodeficiency syndrome. Hum Pathol. 1988;19:113-6. CrossrefMedlineGoogle Scholar6. Gallant J, Enriquez R, Cohen K, and Hammers L. Pneumocystis carinii thyroiditis. Am J Med. 1988;84;303-6. CrossrefMedlineGoogle Scholar7. Gherman C, Ward R, and Bassis M. Pneumocystis carinii otitis media and mastoiditis as the initial manifestation of the acquired immunodeficiency syndrome. Am J Med. 1988;85:250-2. CrossrefMedlineGoogle Scholar8. Coulman C, Greene I, and Archibald R. Cutaneous pneumocystosis. Ann Intern Med. 1987;106:396-8. LinkGoogle Scholar9. Carter T, Cooper P, Petri W, Kim C, Walzer P, and Guerrant R. Pneumocystis carinii infection of the small intestine in a patient with acquired immunodeficiency syndrome. Am J Clin Pathol. 1988;89:679-83. CrossrefMedlineGoogle Scholar10. Lowery S, Fallat R, Feigal D, and Montgomery A. Changing patterns of P. carinii pneumonia (PCP) on pentamidine aerosol prophylaxis. Abstract 7167. In: Program and Abstracts, IV International Conference on AIDS. Stockholm, Sweden; 1988:419. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Rita B. Poblete, MD; Kassandra Rodriguez, MD; Robert T. Foust, MD; K. Rajender Reddy, MD; Mario J. Saldana, MDFrom University of Miami School of Medicine, Miami, Florida. For current author addresses, see end of text. 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Mullen, MD 1 May 1989Volume 110, Issue 9Page: 737-738KeywordsAIDSHistory of medicineImmunodeficienciesLiver diseasesOpportunistic pathogensPneumocystisPneumoniaPneumonitisProphylaxisThorax ePublished: 1 December 2008 Issue Published: 1 May 1989 PDF downloadLoading ...