PNEUMOCYSTIS-CARINII PNEUMONIA IN IMMUNOCOMPROMISED PATIENTS - MANIFESTATIONS, TREATMENT AND PROGNOSIS

被引：0

作者：

PEREZ, C ^{[1
]}

ALMENDAREZ, C ^{[1
]}

ODDO, D ^{[1
]}

SIRHAN, M ^{[1
]}

LABARCA, J ^{[1
]}

ACUNA, G ^{[1
]}

DELACERDA, G ^{[1
]}

机构：

[1] CATHOLIC UNIV CHILE,HOSP CLIN,DEPT ANAT PATOL,SANTIAGO,CHILE

来源：

REVISTA MEDICA DE CHILE | 1994年 / 122卷 / 02期

关键词：

IMMUNOLOGICAL DEFICIENCY SYNDROMES; PNEUMONIA; PNEUMOCYSTIS-CARINII; AIDS; DIAGNOSIS; PROGNOSIS;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pneumocystis carinii pneumonia is frequent in patients with cellular immunity impairments, specially those with AIDS. We communicate our experience in 20 patients (15 with AIDS) with Pneumocystis carinii pneumonia confirmed by the finding of trophozoites or cysts. Clinical manifestations were cough in 75% of cases, dyspnea in 70% and fever in 65%. Eighty five percent of cases had diffuse reticular and nodular radiological densities. Nineteen patients had an increased alveolar-arterial O2 gradient. Nineteen patients were treated with trimethropim-sulphamethoxazole (TMP-SMX) and 4 with pentamidine isethionate (1 due to previous allergy and 3 due to poor response to TMP-SMX). Three patients died during the acute episode. Of the survivors, 13 died within 2 to 44 months later (14.5 +/- 12 months). It is concluded that AIDS is the most frequent underlying condition in patients with Pneumoycistis carinii pneumonia and that long term survival is low.

引用

页码：154 / 158

页数：5

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