[Intestinal obstruction and necrotizing thyroiditis secondary to Pneumocystis carinii infection in a seropositive hemophiliac patient seropositive for human immunodeficiency virus].
We report a case of bowel infection by Pneumocystis carinii (PC) that presented as an acute obstruction accompanied by intestinal hemorrhage (melena) in a HIV seropositive hemophilic patient. Laparotomy followed by resection of two plaque-like jejunal tumors was performed, and intravenous therapy with pentamidine was initiated. No other organ was found to be affected by PC (not even the lung), with the exception of the thyroid gland. To our knowledge, this is the first reported case in which acute intestinal obstruction was the presenting symptom of extrapulmonary pneumocystosis.
Olcoz Gonñi
J L
JL
Servicio de Digestivo, Hospital de León.
Morán Blanco
A
A
Bahamonde Carrasco
A
A
Alonso
A
A
Suárez
D
D
Gundín
M J
MJ
Muñoz
M
M
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis; D000208:Acute Disease; D000328:Adult; D006679:HIV Seropositivity / Q000150:complications*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D008551:Melena / Q000209:etiology; D016720:Pneumocystis Infections / Q000175:diagnosis; D013966:Thyroiditis / Q000209:etiology*
Obstrucción intestinal y tiroiditis necrosante secundarias a infección por Pneumocystis carinii en un paciente hemofílico seropositivo para el virus de la inmunodeficiencia humana.