Hicks M L, Nolan G H, Maxwell S L, Mickle C
Department of Gynecology and Obstetrics, Henry Ford Hospital, Detroit, Michigan.
Obstet Gynecol. 1990 Sep;76(3 Pt 2):480-1.
Human immunodeficiency virus (HIV) infections are being seen with greater regularity by the obstetrician-gynecologist. Acquired immunodeficiency syndrome (AIDS), the extreme of the spectrum of HIV infections, is associated with Pneumocystis carinii infection in more than half of newly diagnosed cases. Four cases of AIDS and P carinii pneumonia complicating pregnancy have been reported in the literature, and all have caused maternal death. We report a case in which the mother survived. Treatment was similar to that used in the other reported cases except that steroids were added. A limited number of patients with AIDS and P carinii infection have been treated with trimethopterim-sulfamethoxazole and steroids, with good results. Steroids should be considered for cases in which other efforts are failing.
产科医生越来越频繁地遇到人类免疫缺陷病毒（HIV）感染病例。获得性免疫缺陷综合征（AIDS）是HIV感染谱中的极端情况，在超过一半的新诊断病例中与卡氏肺孢子虫感染有关。文献中已报道了4例并发妊娠的艾滋病和卡氏肺孢子虫肺炎病例，所有这些病例均导致了产妇死亡。我们报告了1例母亲存活的病例。治疗方法与其他报道的病例相似，只是加用了类固醇。少数艾滋病和卡氏肺孢子虫感染患者已接受三甲氧苄氨嘧啶 - 磺胺甲恶唑和类固醇治疗，效果良好。对于其他治疗方法无效的病例，应考虑使用类固醇。
