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KMID : 1144320140460030204
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감염과 화학요법
2014 Volume.46 No. 3 p.204 ~ p.208
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Spontaneous Pneumomediastinum, Pneumopericardium, and Pneumothorax with Respiratory Failure in a Patient with AIDS and Pneumocystis jirovecii Pneumonia
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Park Yun-Kyung
Jung Hee-Chan
Kim Shin-Young
Kim Min-Young
Jo Kwan-Hoon
Kim Se-Young
Kang Bo-Ra-Mi
Woo Gi-Hyeon
Choi Hyun-Joo
Wie Seong-Heon
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Abstract
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Spontaneous pneumothorax occurs in up to 35% of patients with Pneumocystis jirovecii pneumonia. However, spontaneous pneumomediastinum and pneumopericardium are uncommon complications in patients infected with human immunodeficiency virus, with no reported incidence rates, even among patients with acquired immunodeficiency syndrome (AIDS) and P. jirovecii pneumonia. We report a case of spontaneous pneumomediastinum, pneumopericardium, and pneumothorax with respiratory failure during treatment of P. jirovecii pneumonia in a patient with AIDS; the P. jirovecii infection was confirmed by performing methenamine silver staining of bronchoalveolar lavage specimens. This case suggests that spontaneous pneumomediastinum and pneumopericardium should be considered in patients with AIDS and P. jirovecii pneumonia.
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KEYWORD
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Pneumomediastinum, Pneumopericardium, Human immunodeficiency virus, Pneumocystis jirovecii
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