Pneumocystis carinii Pneumonia: A Complication of Cushing's Syndrome
Authors: LOWELL B. ANTHONY
Journal: Annals of Internal Medicine (1981)

Brief Reports1 April 1981Pneumocystis carinii Pneumonia: A Complication of Cushing's SyndromeLOWELL B. ANTHONY, M.D., F. ANTHONY GRECO, M.D.LOWELL B. ANTHONY, M.D., F. ANTHONY GRECO, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-94-4-488 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPneumocystis carinii pneumonia as a complication of steroid therapy in immunocompromised patients has been well documented (1-5). However, pneumocystis in the presence of endogenous hypercortisolism from Cushing's syndrome has not been previously reported. We report here a patient with Cushing's syndrome from bilateral adrenal hyperplasia in whom pneumocystis pneumonia developed.A 24-year-old man was referred to Vanderbilt Hospital in September 1975 because of Cushing's syndrome unresponsive to pituitary radiation. The patient had been short and obese all his life and had gained 18.1 kg in the past 2 years. There had been a marked increase in his abdominal size and...References1. ROSENARMSTRONGRAMOS PDC. Pneumocystis carinii pneumonia: a clinocopathologic study of twenty patients with neoplastic diseases. Am J Med. 1972;53:428-36. CrossrefMedlineGoogle Scholar2. GOODELLJACOBSPOWELLDEVITA BJRV. Pneumocystis carinii: the spectrum of diffuse interstitial pneumonia in patients with neoplastic diseases. Ann Intern Med. 1970;72:337-40. LinkGoogle Scholar3. WALZERPERLKROGSTADRAWSONSCHULTZ PDDPM. Pneumocystis carinii pneumonia in the United States: epidemiologic, diagnostic, and clinical features. In: BAILAR JC III, WEISBURGER EK, eds. Symposium on Pneumocystis carinii Infection. Washington, D. C.: U. S. Government Printing Office; 1976:55-62. (National Cancer Institute Monograph no. 43). Google Scholar4. LUNABODEYGOLDMANLICHTIGER MGAB. Pneumocystis carinii pneumonitis in cancer patients. Tex Rep Biol Med. 1972;30:41-56. MedlineGoogle Scholar5. DEVITAGOODELLHUBBARDGEELHOEDYOUNG VBSGR. Pneumocystis pneumonia in patients with cancer: clinical setting. In: BAILAR JC III, WEISBURGER EK, eds. Symposium on Pneumocystis carinii Infection. Washington, D. C.: U. S. Government Printing Office; 1976:41-5. (National Cancer Institute Monograph no. 43). Google Scholar6. PLOTZKNOWLTONRAGAN CAC. The natural history of Cushing's syndrome. Am J Med. 1952;13:597-614. CrossrefMedlineGoogle Scholar7. ORTHLIDDLE DG. Results of treatment in 108 patients with Cushing's syndrome. N Engl J Med. 1971;285:243-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Vanderbilt University School of Medicine Nashville, Tennessee PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPneumocystis pneumonia can complicate medical treatment of hypercortisolism even in outpatients with Cushing's diseasePulmonary Complications of Endocrine DiseasesPulmonary Complications of Endocrine DiseasesAdrenal infectionsThe unmasking of Pneumocystis jiroveci pneumonia during reversal of immunosuppression: case reports and literature reviewINFECTIONS ASSOCIATED WITH STEROID USEPulmonary cryptococcosis and pituitary Cushing's diseaseCushing's syndrome complicated by multiple opportunistic infectionsGlucocorticoids and InfectionPneumocystis carinii pneumonia during steroid taper in patients with primary brain tumorsPneumocystis cariniiCushing's SyndromeOpportunistic Infections in Endogenous Cushing's SyndromeBARNEY S. GRAHAM, M.D., W. STUART TUCKER Jr., M.D.Fungal Infections in Cushing's SyndromeJAMES W. FINDLING, M.D., J. BLAKE TYRRELL, M.D., DAVID C. ARON, M.D., PAUL A. FITZGERALD, M.D., CLINTON W. YOUNG, M.D., PETER G. SOHNLE, M.D. 1 April 1981Volume 94, Issue 4_Part_1Page: 488-489KeywordsOverweightPneumocystisPneumocystis carinii pneumoniaPneumoniaSteroid therapy Issue Published: 1 April 1981 PDF DownloadLoading ...