[Double infection of the lung with Pneumocystis carinii and Cryptococcus neoformans in an AIDS patient].
A 25-year old HIV-1-positive hemophiliac was admitted with fever, cough, exertional dyspnea and pleuritic chest pain. Chest x-ray showed diffuse bilateral infiltrates with a left sided nodular consolidation. Pneumocystis-carinii-pneumonia was suspected and diagnosed by broncho-alveolar lavage. With therapy the diffuse infiltrates improved, but the nodule and the symptoms failed to resolve. A fine-needle aspiration of the nodule revealed concurrent cryptococcosis. Treatment with fluconazole resulted in complete resolution of symptoms. Details of the case are presented and clinical implications are discussed.
Albrecht
H
H
Medizinische Kernklinik und Poliklinik, Universitätskrankenhaus Eppendorf, Hamburg.
Stellbrink
H J
HJ
Fenske
S
S
Koperski
K
K
Greten
H
H
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000473:pathology; D000328:Adult; D001707:Biopsy, Needle; D003453:Cryptococcosis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000473:pathology; D016676:Macrophages, Alveolar / Q000473:pathology; D008297:Male; D011020:Pneumonia, Pneumocystis / Q000175:diagnosis* / Q000473:pathology
Doppelinfektion der Lunge durch Pneumocystis carinii und Cryptococcus neoformans bei einem AIDS-Patienten.