Complications During Clinical Courses of Pneumocystis Carinii Pneumonia in Patients with Acquired Immunodeficiency Syndrome.
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- TERUYA Katsuji
- the AIDS Clinical Center, International Medical Center of Japan
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- YASUOKA Akira
- the AIDS Clinical Center, International Medical Center of Japan
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- YAMAGUCHI Masazumi
- the AIDS Clinical Center, International Medical Center of Japan
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- YASUOKA Chie
- the AIDS Clinical Center, International Medical Center of Japan
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- YAMAMOTO Yoshihiko
- the AIDS Clinical Center, International Medical Center of Japan
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- GENKA Ikumi
- the AIDS Clinical Center, International Medical Center of Japan
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- TACHIKAWA Natsuo
- the AIDS Clinical Center, International Medical Center of Japan
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- KIKUCHI Yoshimi
- the AIDS Clinical Center, International Medical Center of Japan
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- OKA Shinichi
- the AIDS Clinical Center, International Medical Center of Japan
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Abstract
Objective To describe the incidence of complications before and during therapy of Pneumocystis carinii pneumonia (PCP) in patients with acquired immunodeficiency syndrome (AIDS).<br> Methods A retrospective review of the patient's medical records.<br>Patients A total of 29 patients with AIDS and PCP who were admitted to the AIDS Clinical Center, International Medical Center of Japan from July 1996 to November 1999.<br> Results Adverse effects were found in 24 (88.9 %) of 27 patients treated with trimethoprim/sulfamethoxazole (T/S), 6 (46.1%) of 13 treated with parenteral pentamidine, and 2 (20%) of 10 treated with inhaled pentamidine. Infectious and/or non-infectious complications were found in 25 (86.2%) of 29 study patients. Regarding infectious complications, 16 (55.2%) were found on admission and 10 cases (34.5%) with infectious complications were identified during admission; including oral candidiasis (37.9% and 17.2%, respectively) and genital herpes (3.4% and 6.9%, respectively). Cytomegalovirus antigenemia was detected in 4 cases (13.8%) on admission and 12 cases (41.4%) during admission. Non-infectious complications affected 11 cases (37.9%) on admission, and 6 cases (20.7%) during admission, the latter included heart failure (10.3%) and pneumothorax (6.9%). PCP was successfully treated in all but one patient who suffered from repeated pneumothorax.<br> Conclusion Treatment of PCP can be problematic and it is important to be aware of the high incidence of various complications that can occur during the treatment of PCP.<br>(Internal Medicine 40: 221-226, 2001)
Journal
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- Internal Medicine
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Internal Medicine 40 (3), 221-226, 2001
The Japanese Society of Internal Medicine
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Details 詳細情報について
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- CRID
- 1390001204868438272
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- NII Article ID
- 10006999121
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- NII Book ID
- AA10827774
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- COI
- 1:CAS:528:DC%2BD3MXkt1Ois70%3D
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- ISSN
- 13497235
- 09182918
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- NDL BIB ID
- 5702967
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- PubMed
- 11310488
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed