Concurrent granulomatous Pneumocystis carinii and Mycobacterium xenopi pneumonia: an unusual manifestation of HIV immune reconstitution disease

Chen, F.; Sethi, G.; Goldin, R.; Wright, A. R.; Lacey, C. J.
November 2004
Thorax;Nov2004, Vol. 59 Issue 11, p997
Academic Journal
The article presents a case report of a 35 year old patient suffering from concurrent granulomatous "Pneumocystis carinii" and "Mycobacterium xenopi" pneumonia as an unusual manifestation of HIV immune reconstitution disease. The patient, an HIV positive man, commenced antiretroviral therapy (ART) with zidovudine, lamivudine and nelfinavir 7 years after diagnosis. Prophylaxis for "Pneumocystis" carinii pneumonia was with nebulised pentamidine. Three weeks after commencing ART, with no prior respiratory symptoms, he developed an unproductive cough.


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