一名患有艾滋病相关卡氏肺孢子虫肺炎的患者出现广泛性气囊，并发致命性双侧气胸。

Generalized air cysts complicated by fatal bilateral pneumothoraces in a patient with AIDS-related Pneumocystis carinii pneumonia.

作者信息

Lazard T, Guidet B, Meynard J L, Capron F, Offenstadt G

机构信息

Service de Réanimation Polyvalente, Hôpital Saint-Antoine, Paris, France.

出版信息

Chest. 1994 Oct;106(4):1271-2. doi: 10.1378/chest.106.4.1271.

DOI:10.1378/chest.106.4.1271

PMID:7924511

Abstract

We describe a case of air cyst lesions in an AIDS patient suffering from Pneumocystis carinii pneumonia. This case is unique because these lesions were generalized to both lungs and initially well tolerated. Pathologic examination revealed extensive tissue invasion by P carinii. The prognosis was complicated by bilateral pneumothoraces. Surgical right pleurodesis allowed lung re-expansion but did not prevent recurrence of fatal contralateral pneumothorax.

摘要

我们描述了一例患有卡氏肺孢子虫肺炎的艾滋病患者出现气囊病变的病例。该病例独特之处在于这些病变累及双肺且最初耐受性良好。病理检查显示卡氏肺孢子虫广泛侵袭组织。预后因双侧气胸而复杂化。手术行右侧胸膜固定术使肺复张，但未能防止致命的对侧气胸复发。