Pneumocystis carinii pneumonia with pleural effusion in a non-HIV host

Pneumocystis carinii pneumonia (PCP) is a life-threatening opportunistic infection that occurs in immunocompromised hosts, especially patients with the acquired immunodeficiency syndrome (AIDS). However, this infection is increasing in frequency in other immunosuppressed patients, including organ tr...

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Published inWisconsin medical journal (Madison, Wis.) Vol. 105; no. 1; pp. 62 - 65
Main Authors Balasubramanian, Vijay P, Komorowski, Richard A, Santo Tomas, Linus H
Format Journal Article
LanguageEnglish
Published United States 01.01.2006
Subjects
Adult
Anti-Infective Agents - therapeutic use
Diagnosis, Differential
Female
Humans
Immunocompromised Host
Kidney Transplantation
Pleural Effusion - drug therapy
Pleural Effusion - microbiology
Pneumonia, Pneumocystis - diagnosis
Pneumonia, Pneumocystis - drug therapy
Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use
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Summary:Pneumocystis carinii pneumonia (PCP) is a life-threatening opportunistic infection that occurs in immunocompromised hosts, especially patients with the acquired immunodeficiency syndrome (AIDS). However, this infection is increasing in frequency in other immunosuppressed patients, including organ transplant recipients and those with malignancy who are treated with chemotherapeutic regimens. It carries a relatively high mortality in the non-human immunodeficiency virus (HIV) population. Pleural involvement is rare with PCP; all reported cases in the literature are associated with HIV disease and characterized as small effusions. We report a case of a renal transplant recipient with PCP and moderate-sized pleural effusion with pneumocystis cysts.
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ISSN:1098-1861