title: Respiratory distress, pneumonic changes on chest X-ray, hypoxaemia, oral candidiasis in a homosexual male: not always Pneumocystis carinii pneumonia.
abstract: A young homosexual male presented to the emergency department with respiratory distress, oropharyngeal candidiasis, hypoxaemia, and renal failure. Pneumocystis carinii pneumonia was considered to be the likely diagnosis - until 24 h later when the patient divulged the true history of paraquat ingestion some 5 days previously. Ingestion of corrosives should be considered in patients with oropharyngeal candidiasis and pneumonic symptoms, especially in the presence of renal failure as an alternative to HIV infection.
authors: Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK.
authors: Gillian
authors: G
authors: Twinem
authors: Darren
authors: D
authors: Monaghan
authors: Sean
authors: S
authors: McGovern