Bleomycin Sclerotherapy for Bilateral Pneumothoraces in a Patient with AIDS
Authors: Oleh W. Hnatiuk
Journal: Annals of Internal Medicine (1990)

Brief Reports15 December 1990Bleomycin Sclerotherapy for Bilateral Pneumothoraces in a Patient with AIDSOleh W. Hnatiuk, MD, Thomas A. Dillard, MD, Charles N. Oster, MDOleh W. Hnatiuk, MDSearch for more papers by this author, Thomas A. Dillard, MDSearch for more papers by this author, Charles N. Oster, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-12-988 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPneumothorax 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.Case ReportA 26-year-old white woman with AIDS had a right-sided...References1. FleischerMcElvaneyLawsonGereinGrantTyers AGLADG. Surgical management of spontaneous pneumothorax in patients with acquired immunodeficiency syndrome. Ann Thorac Surg. 1988;45:21-3. CrossrefMedlineGoogle Scholar2. EngBishburgSmith RES. Evidence for destruction of tissues during Pneumocystis carinii infection. Arch Intern Med. 1987;147:746-9. CrossrefMedlineGoogle Scholar3. ShermanLevinBreidbart MDD. Pneumocystis carinii pneumonia with spontaneous pneumothorax. A report of three cases. Chest. 1986;90:609-10. CrossrefMedlineGoogle Scholar4. Scannell K. Pneumothoraces and Pneumocystis carinii pneumonia in two AIDS patients receiving aerosolized pentamidine. Chest. 1990;97:479-80. CrossrefMedlineGoogle Scholar5. DynerLangBuschGordon TWDP. Intravascular and pleural involvement by Pneumocystis carinii in a patient with the acquired immunodeficiency syndrome (AIDS) [Letter]. Ann Intern Med. 1989;111:94-5. LinkGoogle Scholar6. GoldszerBennettVan CampenRudnitzky RJJJ. Intrapleural tetracycline for spontaneous pneumothorax. JAMA. 1979;241:724-5. CrossrefMedlineGoogle Scholar7. SahnGood SJ. The effect of common sclerosing agents on the rabbit pleural space. Am Rev Respir Dis. 1981;124:85-7. Google Scholar8. TassiDi FabioChioderaFoccoliZogno GDPPM. Intrapleural tetracycline for recurrent pneumothorax [Letter]. Chest. 1983;83:836-7. CrossrefMedlineGoogle Scholar9. Ostrowski M. Intracavitary therapy with bleomycin for the treatment of malignant pleural effusions. J Surg Oncol Suppl. 1989;1:7-13. CrossrefMedlineGoogle Scholar10. BitranBrownDesserKozloffShapiroBillings JCRMCA. Intracavitary bleomycin for the control of malignant effusions. J Surg Oncol. 1981;16:273-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Oleh W. Hnatiuk, MD; Thomas A. Dillard, MD; Charles N. Oster, MDAffiliations: From the Walter Reed Army Medical Center, Washington, D.C. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPneumothorax, Bullous Disease, and EmphysemaSPONTANEOUS PNEUMOTHORAX AND PNEUMOMEDIASTINUMAIDS-Related Interventional ProceduresINTERVENTIONAL PROCEDURES IN THE AIDS PATIENTACUTE RESPIRATORY FAILURE IN THE HIV-SEROPOSITIVE PATIENTPNEUMOCYSTIS CARINIIThe efficacy of doxycycline as a pleural sclerosing agent in malignant pleural effusion: A prospective studySpontaneous Pneumothorax in Children with AIDSAIDS-Related Spontaneous PneumothoraxPleurodesis For Spontaneous PneumothoraxPulmonary manifestations of acquired immunodeficiency syndromeDoxycycline Pleurodesis for Pneumothorax in Patients With AIDSTraitement des pneumothorax compliquant la pneumopathie à Pneumocystis carinii au cours du sidaDiagnosis and management of malignant pleural effusionSpontaneous Pneumothorax Associated with Pneumocystis carinii PneumoniaTetracycline Pleurodesis Adios, Farewell, Adieu 15 December 1990Volume 113, Issue 12Page: 988-990KeywordsAIDSCritical carePatientsPneumocystisPneumoniaResearch laboratoriesSurgerySurgical repairTetracyclinesThoracotomy ePublished: 1 December 2008 Issue Published: 15 December 1990 PDF downloadLoading ...