Tobin-D'Angelo Melissa J, Hoteit Maarouf A, Brown Katia V, Ray Susan M, King Mark D
Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA.
Am J Med Sci. 2004 Mar;327(3):163-5. doi: 10.1097/00000441-200403000-00010.
Interstitial pneumonitis, often related to infectious etiologies, occurs commonly in HIV-infected patients. However, hypersensitivity pneumonitis from noninfectious etiologies, including environmental stimuli or drug exposure, is an unusual etiology of interstitial pneumonitis in HIV-infected patients. We report a patient with AIDS who developed a dapsone-induced hypersensitivity pneumonitis mimicking Pneumocystis carinii (PCP) pneumonia. We believe drug-induced hypersensitivity pneumonitis should be considered in the differential diagnosis of interstitial pneumonia in HIV-infected patients in whom infectious etiologies have been ruled out.
间质性肺炎通常与感染性病因相关，常见于HIV感染患者。然而，由非感染性病因引起的过敏性肺炎，包括环境刺激或药物暴露，在HIV感染患者中是间质性肺炎的一种不常见病因。我们报告了一名艾滋病患者，他发生了一种模仿卡氏肺孢子虫（PCP）肺炎的氨苯砜诱导的过敏性肺炎。我们认为，在已排除感染性病因的HIV感染患者的间质性肺炎鉴别诊断中，应考虑药物诱导的过敏性肺炎。
