Abstract:
:Pneumocystis carinii pneumonia was suggested by a diffuse, bilateral pulmonary uptake of gallium-67 in an asymptomatic, homosexual male with the antibody to the immunodeficiency virus (HIV) who was undergoing staging evaluation for lymphoma clinically localized to a left inguinal lymph node. Chest radiograph and pulmonary function evaluation, including lung volumes, diffusing capacity and arterial blood gases, were within normal limits. Bronchoalveolar lavage revealed Pneumocystis carinii organisms. In this asymptomatic, HIV-positive patient, active alveolar infection, evidenced by abnormal gallium-67 scanning, predated pulmonary physiologic abnormalities. This observation raises questions concerning the natural history of this disease process and the specificity of physiologic tests for excluding disease. It also has implications for the treatment of neoplasia in the HIV-positive patient population.
journal_name
Chestjournal_title
Chestauthors
Reiss TF,Golden Jdoi
10.1378/chest.97.5.1261subject
Has Abstractpub_date
1990-05-01 00:00:00pages
1261-3issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(15)41044-Xjournal_volume
97pub_type
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