Pneumocystis carinii in a patient with pulmonary sarcoidosis and idiopathic CD4+ T lymphocytopenia.
A case of pulmonary sarcoidosis and idiopathic CD4+ T lymphocytopenia is reported. Pneumocystis carinii was detected in the bronchoalveolar lavage fluid of a young homosexual man who was asymptomatic without any evidence of congenital or acquired immunodeficiency but with a low CD4+ cell count. A clinical and histological diagnosis of pulmonary sarcoidosis was made. During follow up the patient had oral candidiasis and a CD4+ cell count persistently below 300/microliters. This case is highly suggestive of concurrent pulmonary sarcoidosis and idiopathic CD4+ T lymphocytopenia.
Sinicco
A
A
Institute of Infectious Diseases, University of Turin, Italy.
Maiello
A
A
Raiteri
R
R
Sciandra
M
M
Dassio
G
G
Zamprogna
C
C
Mecozzi
B
B
D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D018791:CD4 Lymphocyte Count; D002180:Candidiasis, Oral / Q000150:complications; D006801:Humans; D008297:Male; D011020:Pneumonia, Pneumocystis / Q000150:complications*; D017565:Sarcoidosis, Pulmonary / Q000150:complications*; D018344:T-Lymphocytopenia, Idiopathic CD4-Positive / Q000150:complications*