A Case of Pneumocystis carinii Pneumonia in a Patient with Relapsed Acute Myelogenous Leukemia.
- Author:
Kwang Yong KIM
1
;
Byung Hak JUNG
;
Ki Seon GU
;
Young Jin LEE
;
Kyu Jae LEE
;
Chin Thack SOH
;
Hyun PARK
Author Information
1. Department of Parasitology, College of Medicine, Wonkwang University, Chunbuk, Korea.
- Publication Type:Case Report
- Keywords:
Pneumocystis carinii;
Pneumonia;
Leukemia
- MeSH:
Azure Stains;
Drug Therapy;
Dyspnea;
Humans;
Korea;
Leukemia;
Leukemia, Myeloid, Acute*;
Lung;
Lung Diseases, Interstitial;
Middle Aged;
Pneumocystis carinii*;
Pneumocystis*;
Pneumonia;
Pneumonia, Pneumocystis*;
Sputum;
Thorax;
Ventilators, Mechanical
- From:Korean Journal of Infectious Diseases
1998;30(1):111-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a 61-year old man with Pneumocystis carinii pneumonia who had been diagnosed as having relapsed acute myelogenous leukemia(AML). He developed severe dyspnea in the nadir state after reinduction chemotherapy. His chest X-ray showed bilateral interstitial pneumonia in both lung fields. We started ventilator therapy and obtained sputum through the endotracheal tube. Typical P. carinii cysts were found in the sputum by Giemsa stain. No other organisms were found in thelavage sediments. From clinical observation and the presence of typical P. carinii cysts, the patient was diagnosed as having P. carinii pneumonia and was treated with sulfamethoxazole/trimethoprim and glucocorticoid. This was the first reported case of P. carinii pneumonia in an AML patient undergoing chemotherapy in Korea.
