Evlogias N E, Leonidas J C, Rooney J, Valderama E
Department of Radiology, Schneider Children's Hospital, New Hyde Park, NY 11040, USA.
Pediatr Radiol. 1994;24(8):606-8. doi: 10.1007/BF02012749.
A 3-year-old HIV-positive boy developed Pneumocystis carinii pneumonia (PCP) resulting in chronic interstitial pulmonary disease, which persisted for the following 3 years; he was essentially asymptomatic and the lung findings had therefore been attributed to lymphocytic interstitial pneumonia (LIP). He subsequently developed extensive cystic pulmonary disease, documented by CT, leading to recurrent pneumothorax and severe pulmonary insufficiency. Lung biopsy revealed chronic PCP infection associated with extensive pulmonary fibrosis and calcification. This case suggests that Pneumocystis carinii may cause chronic progressive pulmonary fibrosis with cyst formation and respiratory failure.
一名3岁的HIV阳性男孩患上了卡氏肺孢子虫肺炎（PCP），导致慢性间质性肺病，该病在接下来的3年里持续存在；他基本没有症状，因此肺部表现一直被归因于淋巴细胞间质性肺炎（LIP）。他随后出现了广泛的囊性肺病，CT检查证实了这一点，导致反复气胸和严重的肺功能不全。肺活检显示慢性PCP感染伴有广泛的肺纤维化和钙化。该病例表明，卡氏肺孢子虫可能导致伴有囊肿形成和呼吸衰竭的慢性进行性肺纤维化。
