• Schweiz. Rundsch. Med. Prax. · Jan 1990

    Case Reports

    [Weight loss, fever, dyspnea].

    • C Grohe, A Overlack, and H Vetter.
    • Medizinische Poliklinik der Universität Bonn.
    • Schweiz. Rundsch. Med. Prax. 1990 Jan 30; 79 (5): 111-3.

    AbstractA 41-year-old homosexual man complained about weight loss of 14 kg over a period of 6 months. He developed exertional dyspnea and fever up to 39.6 degrees C. The ESR was elevated and the fraction of immature neutrophils increased. Penicillin was administered with no effect, chest X-ray showed basal pulmonary infiltrates, P. carinii was found in bronchioalveolar fluid. HIV-serology was positive. Sulfamethoxazole/trimethoprim (1600/320 mg daily) and 100 mg of prednisolone/die led to reduction of fever. Prevention of P. carinii pneumonia relapse is currently underway with bi-weekly inhalation of pentamidine-isethionate aerosol.

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