Fatal sepsis in an AIDS patient during therapy for Pneumocystis carinii pneumonia.

The case of a patient with a newly diagnosed HIV infection and Pneumocystis carinii pneumonia is presented. Despite treatment with high-dose trimethoprim/sulfamethoxazole (TMP/SMX) and prednisone with initial improvement, the patient acutely deteriorated with severe acidosis and died on the 4th day...

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Detalles Bibliográficos
Publicado en:Infection Vol. 30; no. 5; pp. 314 - 317
Autores principales: Piso RJ, Rossi M, Oehler T, Nguyen XM, Täuber MG
Formato: case study tables/charts Journal Article
Publicado: Springer Nature Oct2002
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:The case of a patient with a newly diagnosed HIV infection and Pneumocystis carinii pneumonia is presented. Despite treatment with high-dose trimethoprim/sulfamethoxazole (TMP/SMX) and prednisone with initial improvement, the patient acutely deteriorated with severe acidosis and died on the 4th day of hospitalization. Cryptococcus neoformans grew the next day in broncheoalveolar lavage (BAL) and blood culture. As simultaneous presence of more than one opportunistic infection can occur in these patients, systematic workup for other common opportunistic infections must be performed.