Korean J Infect Dis.
1998 Feb;30(1):111-113.
A Case of Pneumocystis carinii Pneumonia in a Patient with Relapsed Acute Myelogenous Leukemia
- Affiliations
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- 1Department of Parasitology, College of Medicine, Wonkwang University, Chunbuk, Korea.
- 2Department of Internal Medicine, College of Medicine, Wonkwang University, Chunbuk, Korea.
- 3Department of Clinical Pathology, College of Medicine, Wonkwang University, Chunbuk, Korea.
Abstract
- We experienced a 61-year old man with Pneumocystis carinii pneumonia who had been diagnosed as having relapsed acute myelogenous leukemia(AML). He developed severe dyspnea in the nadir state after reinduction chemotherapy. His chest X-ray showed bilateral interstitial pneumonia in both lung fields. We started ventilator therapy and obtained sputum through the endotracheal tube. Typical P. carinii cysts were found in the sputum by Giemsa stain. No other organisms were found in thelavage sediments. From clinical observation and the presence of typical P. carinii cysts, the patient was diagnosed as having P. carinii pneumonia and was treated with sulfamethoxazole/trimethoprim and glucocorticoid. This was the first reported case of P. carinii pneumonia in an AML patient undergoing chemotherapy in Korea.
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