Three opportunistic infections associated with ectopic corticotropin syndrome.
Cytomegalovirus pneumonia, Pneumocystis carinii pneumonia, and pulmonary and disseminated aspergillosis occurred simultaneously in a 66-year-old white man with oat cell carcinoma and ectopic corticotropin production. Hypokalemia, a recent normal chest roentgenogram, and a large left adrenal mass on a computed tomographic scan confused the initial clinical evaluation. The aspergillosis proved fulminant and lethal.
Sieber
S C
SC
Department of Laboratory Medicine, Danbury (Conn) Hospital 06810.
Dandurand
R
R
Gelfman
N
N
Iannini
P
P
Braza
F
F
D000310:Adrenal Gland Neoplasms / Q000556:secondary; D000324:Adrenocorticotropic Hormone / Q000378:metabolism*; D000368:Aged; D001228:Aspergillosis / Q000150:complications / Q000473:pathology; D018288:Carcinoma, Small Cell / Q000150:complications* / Q000473:pathology / Q000556:secondary; D003586:Cytomegalovirus Infections / Q000150:complications / Q000473:pathology; D006729:Hormones, Ectopic / Q000378:metabolism*; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D009894:Opportunistic Infections / Q000150:complications*; D011014:Pneumonia / Q000150:complications / Q000473:pathology; D011020:Pneumonia, Pneumocystis / Q000150:complications / Q000473:pathology
D006729:Hormones, Ectopic; D000324:Adrenocorticotropic Hormone