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(Chest. 1994;106:1271-1272.)
© 1994 American College of Chest Physicians

Generalized Air Cysts Complicated by Fatal Bilateral Pneumothoraces in a Patient With AIDS-Related Pneumocystis carinii Pneumonia

Thierry Lazard M.D.1; Bertrand Guidet M.D.1; Jean-Luc Meynard M.D.2; Frederique Capron M.D.3; and Georges Offenstadt M.D.1

1 From the Service de Réanimation Polyvalente, Hôpital Saint-Antoine, Paris
2 From the Service de Maladies Infectieuses, Hôpital Saint-Antoine, Paris
3 From the Service d'Anatomo-Pathologie, Hôpital Hotel Dieu, Paris, France

We describe a case of air cyst lesions in an AIDS patient suffering from Pneumocystis carinii pneumonia. This case is unique because these lesions were generalized to both lungs and initially well tolerated. Pathologic examination revealed extensive tissue invasion by P carinii. The prognosis was complicated by bilateral pneumothoraces. Surgical right pleurodesis allowed lung re-expansion but did not prevent recurrence of fatal contralateral pneumothorax.






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Copyright © 1994 by the American College of Chest Physicians.