title: PCP pneumonia with bilateral pneumothoraces in a haemophiliac with factor VIII inhibitors.
abstract: Pneumocystis carinii pneumonia (PCP) infection is a well-recognized feature of advanced HIV infection in all risk groups. This serious opportunistic parasitic infection is almost invariably fatal if left untreated. When associated with bilateral pneumo-thoraces in a patient with severe haemophilia A and factor VIII inhibitors, it poses a critical management problem and can be life-threatening. We report the case of a young man with severe haemophilia A with factor VIII inhibitors presenting with bilateral pneumothoraces which was successfully managed with conservative therapy only.
authors.affiliation: Physician for Arthur Bloom Haemophilia Reference Centre, University Hospial of Wales, Heath Park, Cardiff CF4 4XW.Senior Registrar, Department of Haematology, University Hospital of Wales, Cardiff.Registrar, Department of Haematology, University Hospital of Wales, Cardiff.
authors.forename: H
authors.initials: H
authors.lastname: Dasani
authors.affiliation: Physician for Arthur Bloom Haemophilia Reference Centre, University Hospial of Wales, Heath Park, Cardiff CF4 4XW.Senior Registrar, Department of Haematology, University Hospital of Wales, Cardiff.Registrar, Department of Haematology, University Hospital of Wales, Cardiff.
authors.forename: V
authors.initials: V
authors.lastname: Davies
authors.affiliation: Physician for Arthur Bloom Haemophilia Reference Centre, University Hospial of Wales, Heath Park, Cardiff CF4 4XW.Senior Registrar, Department of Haematology, University Hospital of Wales, Cardiff.Registrar, Department of Haematology, University Hospital of Wales, Cardiff.
authors.forename: R
authors.initials: R
authors.lastname: Wynn
keywords: FVIII inhibitors; PCP pneumonia; pneumothorax