Pneumocystis carinii Pneumonia in an Immunocompetent Host
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Clin Drug Invest 2003; 23 (2): 135-137 1173-2563/03/0002-0135/$30.00/0 © Adis International Limited. All rights reserved.
Pneumocystis carinii Pneumonia in an Immunocompetent Host Evangelos J. Giamarellos-Bourboulis,1 George C. Nikou,2 George L. Petrikkos,2 Maria Mouktaroudi,2 Aggelos Toskas2 and Nikolaos Katsilambros2 1 Fourth Department of Internal Medicine, Medical School, University of Athens, Athens, Greece 2 First Department of Propaedeutic Medicine, Medical School, University of Athens, Athens, Greece
Pneumocystis carinii pneumonia is a very rare disorder in the absence of immunosuppression; only two cases have been reported in the world literature, the first involving a 47-year-old patient with chronic obstructive pulmonary disease (COPD)[1] and the second a full-term infant with zinc deficiency and congenital cytomegalovirus (CMV) infection.[2] P. carinii is, however, a frequent coloniser of patients with COPD.[3,4] A case of pneumonia from P. carinii in a male patient with COPD is described where no signs of immunosuppression were detected.
corpuscular volume 64fl), leukocytosis with a left shift (white blood cells 10500/μL, polymorphs 92%), and elevated levels of lactic dehydrogenase (645 U/L [normal
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