Extrapulmonary Pneumocystis carinii infections.

Extrapulmonary Pneumocystis carinii infections.
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肺外卡氏肺孢子虫感染。

DOI:
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发表时间:
1990
期刊:
Reviews of Infectious Diseases
影响因子:
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通讯作者:
D. Armstrong
D. Armstrong
中科院分区:
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文献类型:
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作者:
E. Telzak;R. Cote;J. Gold;S. W. Campbell;D. Armstrong

文献摘要

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A case of disseminated infection with Pneumocystis carinii is presented, and the English-language literature is reviewed for cases of documented extrapulmonary infection with this organism. In this case--with P. carinii diffusely replacing the bone marrow and causing hepatic, adrenal, and glomerular tuft necrosis--the clinical illness and multiple-organ dysfunction attributed to disseminated P. carinii were more severe than had previously been described. Because the rate of extrapulmonary P. carinii infection found at autopsy in patients with AIDS is at least 2.5% at our institution, we caution against the routine use of aerosol rather than parenteral pentamidine for treatment of P. carinii pneumonia until additional data are available.