[Weight loss, fever, dyspnea].
A 41-year-old homosexual man complained about weight loss of 14 kg over a period of 6 months. He developed exertional dyspnea and fever up to 39.6 degrees C. The ESR was elevated and the fraction of immature neutrophils increased. Penicillin was administered with no effect, chest X-ray showed basal pulmonary infiltrates, P. carinii was found in bronchioalveolar fluid. HIV-serology was positive. Sulfamethoxazole/trimethoprim (1600/320 mg daily) and 100 mg of prednisolone/die led to reduction of fever. Prevention of P. carinii pneumonia relapse is currently underway with bi-weekly inhalation of pentamidine-isethionate aerosol.
Grohe
C
C
Medizinische Poliklinik der Universität Bonn.
Overlack
A
A
Vetter
H
H
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D000336:Aerosols; D004417:Dyspnea / Q000209:etiology*; D005334:Fever / Q000209:etiology*; D006801:Humans; D008297:Male; D010419:Pentamidine / Q000008:administration & dosage; D011020:Pneumonia, Pneumocystis / Q000150:complications* / Q000517:prevention & control; D015431:Weight Loss
D000336:Aerosols; D010419:Pentamidine
Gewichtsabnahme, Fieber, Dyspnoe.