A CASE OF PNEUMOCYSTIS CARINII PNEUMONIA IN THE ACQUIRED IMMUNODEFICIENCY SYNDROME

A CASE OF PNEUMOCYSTIS CARINII PNEUMONIA IN THE ACQUIRED IMMUNODEFICIENCY SYNDROME

A 33-year-old woman, a native of Thailand who was employed as a bar girl, complained of high fever, cough and dyspnea and was admitted to our hospital on 26 February 1999. In the course of hopitalization, infection by human immunodeficiency virus 1 was evidenced by a cell immunity study. Laboratory...

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Published in:Kita Kantō igaku (The Kitakanto Medical Journal) Vol. 50; no. 2; pp. 151 - 156
Main Authors: Watanabe, Kohichi, Ohsawa, Yujiroh, Kobayashi, Setsuo, Ogiwara, Hiroyuki, Sakurai, Shogo, Yamada, Masanobu, Satoh, Tetsuroh, Ozawa, Atsushi
Format: Journal Article
Language:English
Japanese
Published: The Kitakanto Medical Society 2000
Subjects:
Acquired immunodeficiency syndorome (AIDS)
HIV-1
Pneumocystis carinii pneumonia
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Abstract A 33-year-old woman, a native of Thailand who was employed as a bar girl, complained of high fever, cough and dyspnea and was admitted to our hospital on 26 February 1999. In the course of hopitalization, infection by human immunodeficiency virus 1 was evidenced by a cell immunity study. Laboratory results and clinical symptoms strongly suggested Pneumocystis carinii pneumonia, and then sulfomethoxazole / trimethoprim (Baktar) and adjunctively corticosteroids were used. Clinical symptoms and chest X-P findings had improved by 23 March 1999, and the patient was discharged on 29 March.
AbstractList A 33-year-old woman, a native of Thailand who was employed as a bar girl, complained of high fever, cough and dyspnea and was admitted to our hospital on 26 February 1999. In the course of hopitalization, infection by human immunodeficiency virus 1 was evidenced by a cell immunity study. Laboratory results and clinical symptoms strongly suggested Pneumocystis carinii pneumonia, and then sulfomethoxazole / trimethoprim (Baktar) and adjunctively corticosteroids were used. Clinical symptoms and chest X-P findings had improved by 23 March 1999, and the patient was discharged on 29 March.
Author Ohsawa, Yujiroh
Yamada, Masanobu
Watanabe, Kohichi
Kobayashi, Setsuo
Satoh, Tetsuroh
Ozawa, Atsushi
Sakurai, Shogo
Ogiwara, Hiroyuki
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  fullname: Ohsawa, Yujiroh
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  fullname: Kobayashi, Setsuo
  organization: Internal Medicine, Tsukiyono Hospital
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  fullname: Ogiwara, Hiroyuki
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  fullname: Sakurai, Shogo
  organization: Orthopedics, Tsukiyono Hospital
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  fullname: Yamada, Masanobu
  organization: 1st Department of Internal Medicine, School of Medicine, Gunma University
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  fullname: Satoh, Tetsuroh
  organization: 1st Department of Internal Medicine, School of Medicine, Gunma University
– sequence: 8
  fullname: Ozawa, Atsushi
  organization: 1st Department of Internal Medicine, School of Medicine, Gunma University
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References 3) Bozzete SA, Sattler FR, Chiu J, et al. A controled trial of early adjunctive therapy with corticosteroids for pneumocytis carinii pneumonia in the acquired immunodeficiency syndrome.New Engl J Med 1990 ; Vo1323, No.21 : 1451-1457.
8) 木村 哲, 山本直樹 (編), 病期分類, AIDS/HIV感染症の最新ガイド.東京 : 南江堂, 1997 : 20-26.
2) 中田 光, 島田 馨, 4.カリニ肺炎, IV好発する感染, 診断と治療の進歩, 特集コンプロマイズドホストの感染, 日内会誌, 1994;83 : 1157-1162.
10) Montaner JSG, Lawson LM, Levit N, et al.Corticosteroids present early deterio-ration in patients with moderately severe pneumocystis carinii pneumonia and the acquired immunodeficiency syndrome.Ann Intern Med 1990 ; 113 : 14-20.
4) 木村 哲, 山本直樹 (編), 抗体検査法, AIDS/HIV感染症の最新ガイド.東京 : 南江堂, 1997 : 37-42.
11) 松田重三, 曽田研二.HIV感染症治療の実際, HIV/エイズ診断のてびき (第2版).東京 : 文江堂, 1999 : 56-63.
7) 松田重三, 曽田研二.HIV・AIDSを理解する為の免疫学, HIV・AIDSの臨床, HIV-1/HIV-2の抗体検査, HIV/エイズ診断のてびき (第2版).東京 : 文江堂, 1999 : 3-43.
9) Walmsley S, Salit IE, Brunton J, The possible role of corticosteroids therapy for pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome. Ann Intern Med 1990 ; 113 : 14-20.
5) 松田重三, 曽田研二.HIV-1/HIV-2の抗体検査, HIV/エイズ診断のてびき (第2版).東京 : 文江堂, 1993 : 33-44.
1) 木村 哲, 山本直樹 (編) : ニューモシスチス・カリニ肺炎, AIDS/HIV感染症の最新ガイド.東京 : 南江堂, 1997 : 65-66.
6) Montaner JSG, Russel JA, Lawson LM et al. Acute respiratory failure secondary to Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome : a potential role for systemic corticosteroids. Chest 1989 ; 95 : 881-884.
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SubjectTerms Acquired immunodeficiency syndorome (AIDS)
HIV-1
Pneumocystis carinii pneumonia
Title A CASE OF PNEUMOCYSTIS CARINII PNEUMONIA IN THE ACQUIRED IMMUNODEFICIENCY SYNDROME
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