Yassine N, el Meziane A, Alaoui Y A, Bartal M
Service des Maladies Respiratoires, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc.
Rev Mal Respir. 1996 Dec;13(6):603-6.
Pneumocystis is typically described in the immunodepressed. We report a case of pneumocystis occurring in a patient without known depression of the immune system. The patient, aged 50, was hospitalised for a diffused infiltration pneumonia which developed sub-acutely, and presented with increasing dyspnoea of effort, thoracic pain and a disturbances of general health. The initial assessment did not reveal any risk factors for HIV infection nor any past history of note. The diagnosis of pneumocystis was confirmed by the presence of Pneumocystis carinii in the bronchoalveolar lavage from two samples. There was a favourable outcome following the prescription of Cotrimoxazole for three months and steroid therapy. HIV serology was negative and the sub-population of lymphocytes was normal. A search for neoplasia or systematic disease remained negative.
肺孢子菌肺炎通常见于免疫功能低下者。我们报告一例发生在免疫系统无已知抑制的患者身上的肺孢子菌肺炎病例。该患者为50岁，因亚急性发展的弥漫性浸润性肺炎住院，表现为进行性劳力性呼吸困难、胸痛及全身健康状况不佳。初步评估未发现任何HIV感染危险因素，也无值得注意的既往病史。通过两份支气管肺泡灌洗样本中发现卡氏肺孢子菌确诊为肺孢子菌肺炎。给予复方新诺明治疗三个月及类固醇治疗后病情好转。HIV血清学检查为阴性，淋巴细胞亚群正常。肿瘤或系统性疾病检查结果均为阴性。
