Smith R L, Berkowitz K A, Aranda C P
Pulmonary Section, New York Veterans Affairs Medical Center, New York 10010.
Chest. 1991 Sep;100(3):865-7. doi: 10.1378/chest.100.3.865.
Spontaneous pneumothorax is a known complication of Pneumocystis carinii pneumonia (PCP) in patients with acquired immunodeficiency syndrome. From a series of 61 patients with PCP, we identified two cases, not associated with aerosolized pentamidine, that presented with spontaneous pneumothorax and cystic changes seen on chest radiographs. Bronchoalveolar lavage cell findings were remarkable for very elevated neutrophil counts in both cases, suggesting a possible inflammatory cause for the observed cystic changes.
自发性气胸是获得性免疫缺陷综合征患者中卡氏肺孢子虫肺炎（PCP）的一种已知并发症。在一组61例PCP患者中，我们发现了2例与雾化喷他脒无关的病例，这些病例出现了自发性气胸，并且胸部X线片上可见囊性改变。两例患者的支气管肺泡灌洗细胞检查结果均显示中性粒细胞计数显著升高，提示观察到的囊性改变可能存在炎症原因。
