Skip to main content
PMC home page
Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1998 Oct;90(10):625–627.

Pneumocystis carinii infection of the small intestine.

K Kinchen 1, T H Kinchen 1, T Inglesby Jr 1
PMCID: PMC2608372  PMID: 9803728

Abstract

Extrapulmonary Pneumocystis carinii infections are rare in comparison to other opportunistic infections in patients with acquired immunodeficiency syndrome (AIDS). In recent years, however, the number of reported cases of extrapulmonary pneumocystosis has increased. It is therefore important for physicians to recognize the various presentations of extrapulmonary P carinii infection. This article reports a case in which the initial clinically detected AIDS-related infection was extrapulmonary P carinii infection of the small intestine diagnosed after perforation of the jejunum.

Full text

PDF
625

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bellomo A. R., Perlman D. C., Kaminsky D. L., Brettholz E. M., Sarlin J. G. Pneumocystis colitis in a patient with the acquired immunodeficiency syndrome. Am J Gastroenterol. 1992 Jun;87(6):759–761. [PubMed] [Google Scholar]
  2. Bierhoff E., Tran A., Pakos E., Rockstroh J., Pfeifer U. Perforation of the small intestine in a patient with disseminated Pneumocystis carinii infection in AIDS. Gen Diagn Pathol. 1996 Mar;141(3-4):255–260. [PubMed] [Google Scholar]
  3. Carter T. R., Cooper P. H., Petri W. A., Jr, Kim C. K., Walzer P. D., Guerrant R. L. Pneumocystis carinii infection of the small intestine in a patient with acquired immune deficiency syndrome. Am J Clin Pathol. 1988 May;89(5):679–683. doi: 10.1093/ajcp/89.5.679. [DOI] [PubMed] [Google Scholar]
  4. Cohen O. J., Stoeckle M. Y. Extrapulmonary Pneumocystis carinii infections in the acquired immunodeficiency syndrome. Arch Intern Med. 1991 Jun;151(6):1205–1214. [PubMed] [Google Scholar]
  5. Dieterich D. T., Lew E. A., Bacon D. J., Pearlman K. I., Scholes J. V. Gastrointestinal pneumocystosis in HIV-infected patients on aerosolized pentamidine: report of five cases and literature review. Am J Gastroenterol. 1992 Dec;87(12):1763–1770. [PubMed] [Google Scholar]
  6. Fishman E. K., Magid D., Kuhlman J. E. Pneumocystis carinii involvement of the liver and spleen: CT demonstration. J Comput Assist Tomogr. 1990 Jan-Feb;14(1):146–148. doi: 10.1097/00004728-199001000-00031. [DOI] [PubMed] [Google Scholar]
  7. Grimes M. M., LaPook J. D., Bar M. H., Wasserman H. S., Dwork A. Disseminated Pneumocystis carinii infection in a patient with acquired immunodeficiency syndrome. Hum Pathol. 1987 Mar;18(3):307–308. doi: 10.1016/s0046-8177(87)80015-1. [DOI] [PubMed] [Google Scholar]
  8. Keyhani-Rofagha S., Piquero C. Pneumocystis carinii thyroiditis diagnosis by fine needle aspiration cytology: a case report. Acta Cytol. 1996 Mar-Apr;40(2):307–310. doi: 10.1159/000333757. [DOI] [PubMed] [Google Scholar]
  9. Mathews W. C., Bozzette S. A., Harrity S., Meurer W., Viesca T. Pneumocystis carinii peritonitis. Antemortem confirmation of disseminated pneumocystosis by cytologic examination of body fluids. Arch Intern Med. 1992 Apr;152(4):867–869. doi: 10.1001/archinte.152.4.867. [DOI] [PubMed] [Google Scholar]
  10. Merkel I. S., Good C. B., Nalesnik M., Roseman S. R. Chronic Pneumocystis carinii infection of the liver. A case report and review of the literature. J Clin Gastroenterol. 1992 Jul;15(1):55–58. doi: 10.1097/00004836-199207000-00013. [DOI] [PubMed] [Google Scholar]
  11. Montgomery A. B., Debs R. J., Luce J. M., Corkery K. J., Turner J., Brunette E. N., Lin E. T., Hopewell P. C. Selective delivery of pentamidine to the lung by aerosol. Am Rev Respir Dis. 1988 Feb;137(2):477–478. doi: 10.1164/ajrccm/137.2.477. [DOI] [PubMed] [Google Scholar]
  12. Northfelt D. W., Clement M. J., Safrin S. Extrapulmonary pneumocystosis: clinical features in human immunodeficiency virus infection. Medicine (Baltimore) 1990 Nov;69(6):392–398. [PubMed] [Google Scholar]
  13. Poblete R. B., Rodriguez K., Foust R. T., Reddy K. R., Saldana M. J. Pneumocystis carinii hepatitis in the acquired immunodeficiency syndrome (AIDS) Ann Intern Med. 1989 May 1;110(9):737–738. doi: 10.7326/0003-4819-110-9-737. [DOI] [PubMed] [Google Scholar]
  14. Rachal L. T., del Junco G. W., Stool E. W. Gastric pneumocystosis in AIDS. Gastrointest Endosc. 1991 May-Jun;37(3):370–371. doi: 10.1016/s0016-5107(91)70736-0. [DOI] [PubMed] [Google Scholar]
  15. Raviglione M. C. Extrapulmonary pneumocystosis: the first 50 cases. Rev Infect Dis. 1990 Nov-Dec;12(6):1127–1138. doi: 10.1093/clinids/12.6.1127. [DOI] [PubMed] [Google Scholar]
  16. Rockley P. F., Wilcox C. M., Moynihan M., Hewan-Lowe K., Schwartz D. A. Splenic infection simulating lymphoma: an unusual presentation of disseminated Pneumocystis carinii infection. South Med J. 1994 Apr;87(4):530–536. doi: 10.1097/00007611-199404000-00022. [DOI] [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES