Relapse of Pneumocystis carinii pneumonia in the upper lobes during aerosol pentamidine prophylaxis.
Pneumocystis carinii pneumonia was diagnosed by bronchoalveolar lavage of the upper lobes in a patient with the acquired immunodeficiency syndrome (AIDS) receiving aerosol pentamidine prophylaxis. Serendipitous availability of a normal premorbid lung gallium scan indicated that pneumocystosis had developed during aerosol pentamidine prophylaxis; at the time of presentation a repeat gallium scan indicated disease limited to the upper lobes. The relation of this unusual form of isolated upper lobe Pneumocystis carinii pneumonia to aerosol pentamidine prophylaxis warrants further investigation.
Bradburne
R M
RM
Division of Pulmonary Medicine, Memorial Hospital of Rhode Island, Pawtucket 02860.
Ettensohn
D B
DB
Opal
S M
SM
McCool
F D
FD
D000280:Administration, Inhalation; D000328:Adult; D000578:Amidines / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010419:Pentamidine / Q000008:administration & dosage / Q000627:therapeutic use*; D011020:Pneumonia, Pneumocystis / Q000517:prevention & control*; D012008:Recurrence
D000578:Amidines; D010419:Pentamidine