Two Cases of Idiopathic CD4+ T-lymphocytopenia in Elderly Patients
We present 2 cases of idiopathic CD4+ T-Iymphocytopenia (ICL) in elderly patients. Case 1, a 73-year-old man, with pneumonia had received several antibiotics with unsuccessful results at another hospital. On admission, his CD4+ T-lymphocyte count was 109/μl and Pneumocystis carinii was detected by b...
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| Veröffentlicht in: | Internal Medicine 1998, Vol.37(10), pp.891-895 |
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| container_title | Internal Medicine |
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| creator | MATSUYAMA, Wataru TSURUKAWA, Toshihiro IWAMI, Fumiyuki WAKIMOTO, Joeji MIZOGUCHI, Akira KAWABATA, Masaharu OSAME, Mitsuhiro |
| description | We present 2 cases of idiopathic CD4+ T-Iymphocytopenia (ICL) in elderly patients. Case 1, a 73-year-old man, with pneumonia had received several antibiotics with unsuccessful results at another hospital. On admission, his CD4+ T-lymphocyte count was 109/μl and Pneumocystis carinii was detected by bronchoalveolar lavage fluid staining. No evidence of human immunodeficiency virus (HIV) infection was found. Despite therapy, the patient died of respiratory failure. Case 2, a 72-year-old man, contracted severe pneumonia, and Hemophillus influenzae was believed to be the pathogen. On admission, his CD4+ T-lymphocyte count was 238/μl. No evidence of HIV infection was found. He received antibiotics and improved successfully. We suggest that ICL may currently be incubating in a number of elderly pneumonia patients. (Internal Medicine 37: 891-895, 1998) |
| doi_str_mv | 10.2169/internalmedicine.37.891 |
| format | Article |
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Case 1, a 73-year-old man, with pneumonia had received several antibiotics with unsuccessful results at another hospital. On admission, his CD4+ T-lymphocyte count was 109/μl and Pneumocystis carinii was detected by bronchoalveolar lavage fluid staining. No evidence of human immunodeficiency virus (HIV) infection was found. Despite therapy, the patient died of respiratory failure. Case 2, a 72-year-old man, contracted severe pneumonia, and Hemophillus influenzae was believed to be the pathogen. On admission, his CD4+ T-lymphocyte count was 238/μl. No evidence of HIV infection was found. He received antibiotics and improved successfully. We suggest that ICL may currently be incubating in a number of elderly pneumonia patients. (Internal Medicine 37: 891-895, 1998)</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.37.891</identifier><identifier>PMID: 9840716</identifier><language>eng</language><publisher>Tokyo: The Japanese Society of Internal Medicine</publisher><subject>Aged ; AIDS/HIV ; autopsy ; Biological and medical sciences ; CD4 Lymphocyte Count ; emphysema ; Fatal Outcome ; Haemophilus Infections - complications ; Hematologic and hematopoietic diseases ; human immunodeficiency virus ; Humans ; Lymphopenia - blood ; Lymphopenia - complications ; Lymphopenia - drug therapy ; Male ; Medical sciences ; opportunistic infection ; Opportunistic Infections - complications ; Other diseases. Hematologic involvement in other diseases ; Pneumocystis carinii ; Pneumonia, Bacterial - blood ; Pneumonia, Bacterial - complications ; Pneumonia, Pneumocystis - blood ; Pneumonia, Pneumocystis - complications ; Recurrence ; Respiratory Insufficiency - etiology</subject><ispartof>Internal Medicine, 1998, Vol.37(10), pp.891-895</ispartof><rights>The Japanese Society of Internal Medicine</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-f6c2c754d19c7b0b4e095de1ee0f92f439da5359bd68dd8a579c4c56f741bd753</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1877,4010,27904,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1657793$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9840716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MATSUYAMA, Wataru</creatorcontrib><creatorcontrib>TSURUKAWA, Toshihiro</creatorcontrib><creatorcontrib>IWAMI, Fumiyuki</creatorcontrib><creatorcontrib>WAKIMOTO, Joeji</creatorcontrib><creatorcontrib>MIZOGUCHI, Akira</creatorcontrib><creatorcontrib>KAWABATA, Masaharu</creatorcontrib><creatorcontrib>OSAME, Mitsuhiro</creatorcontrib><title>Two Cases of Idiopathic CD4+ T-lymphocytopenia in Elderly Patients</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>We present 2 cases of idiopathic CD4+ T-Iymphocytopenia (ICL) in elderly patients. Case 1, a 73-year-old man, with pneumonia had received several antibiotics with unsuccessful results at another hospital. On admission, his CD4+ T-lymphocyte count was 109/μl and Pneumocystis carinii was detected by bronchoalveolar lavage fluid staining. No evidence of human immunodeficiency virus (HIV) infection was found. Despite therapy, the patient died of respiratory failure. Case 2, a 72-year-old man, contracted severe pneumonia, and Hemophillus influenzae was believed to be the pathogen. On admission, his CD4+ T-lymphocyte count was 238/μl. No evidence of HIV infection was found. He received antibiotics and improved successfully. We suggest that ICL may currently be incubating in a number of elderly pneumonia patients. (Internal Medicine 37: 891-895, 1998)</description><subject>Aged</subject><subject>AIDS/HIV</subject><subject>autopsy</subject><subject>Biological and medical sciences</subject><subject>CD4 Lymphocyte Count</subject><subject>emphysema</subject><subject>Fatal Outcome</subject><subject>Haemophilus Infections - complications</subject><subject>Hematologic and hematopoietic diseases</subject><subject>human immunodeficiency virus</subject><subject>Humans</subject><subject>Lymphopenia - blood</subject><subject>Lymphopenia - complications</subject><subject>Lymphopenia - drug therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>opportunistic infection</subject><subject>Opportunistic Infections - complications</subject><subject>Other diseases. Hematologic involvement in other diseases</subject><subject>Pneumocystis carinii</subject><subject>Pneumonia, Bacterial - blood</subject><subject>Pneumonia, Bacterial - complications</subject><subject>Pneumonia, Pneumocystis - blood</subject><subject>Pneumonia, Pneumocystis - complications</subject><subject>Recurrence</subject><subject>Respiratory Insufficiency - etiology</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkE1rGzEQhkVpSJy0P6FkD6WXsI4-VqvVsXHzBYGU4p6FVpqtFWTtVpIJ_vdRsHEgucwc3mdm3nkROid4TkkrL13IEIP2a7DOuABzJuadJJ_QjLBG1oIy_hnNsCRdTUs5QacpPWHMOiHpMTqWXYMFaWfoavk8VgudIFXjUN1bN046r5ypFr-ai2pZ--16Wo1mm8cJgtOVC9W1txD9tvqts4OQ0xd0NGif4Ou-n6G_N9fLxV398Hh7v_j5UBtORa6H1lAjeGOJNKLHfQNYcgsEAA-SDg2TVnPGZW_bztpOcyFNY3g7iIb0VnB2hn7s9k5x_L-BlNXaJQPe6wDjJimBcXmL0AKKHWjimFKEQU3RrXXcKoLVa3rqfXqKCVXSK5Pf9ic2fdEOc_u4iv59r-tktB-iDsalt_UtF0Kygv3ZYU8p639w0HXMznj4cJ5ISV8tFHu7WrwcYLPSUUFgL_kWmpU</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>MATSUYAMA, Wataru</creator><creator>TSURUKAWA, Toshihiro</creator><creator>IWAMI, Fumiyuki</creator><creator>WAKIMOTO, Joeji</creator><creator>MIZOGUCHI, Akira</creator><creator>KAWABATA, Masaharu</creator><creator>OSAME, Mitsuhiro</creator><general>The Japanese Society of Internal Medicine</general><general>Japanese Society of Internal Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1998</creationdate><title>Two Cases of Idiopathic CD4+ T-lymphocytopenia in Elderly Patients</title><author>MATSUYAMA, Wataru ; TSURUKAWA, Toshihiro ; IWAMI, Fumiyuki ; WAKIMOTO, Joeji ; MIZOGUCHI, Akira ; KAWABATA, Masaharu ; OSAME, Mitsuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c527t-f6c2c754d19c7b0b4e095de1ee0f92f439da5359bd68dd8a579c4c56f741bd753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>AIDS/HIV</topic><topic>autopsy</topic><topic>Biological and medical sciences</topic><topic>CD4 Lymphocyte Count</topic><topic>emphysema</topic><topic>Fatal Outcome</topic><topic>Haemophilus Infections - complications</topic><topic>Hematologic and hematopoietic diseases</topic><topic>human immunodeficiency virus</topic><topic>Humans</topic><topic>Lymphopenia - blood</topic><topic>Lymphopenia - complications</topic><topic>Lymphopenia - drug therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>opportunistic infection</topic><topic>Opportunistic Infections - complications</topic><topic>Other diseases. Hematologic involvement in other diseases</topic><topic>Pneumocystis carinii</topic><topic>Pneumonia, Bacterial - blood</topic><topic>Pneumonia, Bacterial - complications</topic><topic>Pneumonia, Pneumocystis - blood</topic><topic>Pneumonia, Pneumocystis - complications</topic><topic>Recurrence</topic><topic>Respiratory Insufficiency - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MATSUYAMA, Wataru</creatorcontrib><creatorcontrib>TSURUKAWA, Toshihiro</creatorcontrib><creatorcontrib>IWAMI, Fumiyuki</creatorcontrib><creatorcontrib>WAKIMOTO, Joeji</creatorcontrib><creatorcontrib>MIZOGUCHI, Akira</creatorcontrib><creatorcontrib>KAWABATA, Masaharu</creatorcontrib><creatorcontrib>OSAME, Mitsuhiro</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MATSUYAMA, Wataru</au><au>TSURUKAWA, Toshihiro</au><au>IWAMI, Fumiyuki</au><au>WAKIMOTO, Joeji</au><au>MIZOGUCHI, Akira</au><au>KAWABATA, Masaharu</au><au>OSAME, Mitsuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two Cases of Idiopathic CD4+ T-lymphocytopenia in Elderly Patients</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>1998</date><risdate>1998</risdate><volume>37</volume><issue>10</issue><spage>891</spage><epage>895</epage><pages>891-895</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>We present 2 cases of idiopathic CD4+ T-Iymphocytopenia (ICL) in elderly patients. Case 1, a 73-year-old man, with pneumonia had received several antibiotics with unsuccessful results at another hospital. On admission, his CD4+ T-lymphocyte count was 109/μl and Pneumocystis carinii was detected by bronchoalveolar lavage fluid staining. No evidence of human immunodeficiency virus (HIV) infection was found. Despite therapy, the patient died of respiratory failure. Case 2, a 72-year-old man, contracted severe pneumonia, and Hemophillus influenzae was believed to be the pathogen. On admission, his CD4+ T-lymphocyte count was 238/μl. No evidence of HIV infection was found. He received antibiotics and improved successfully. We suggest that ICL may currently be incubating in a number of elderly pneumonia patients. (Internal Medicine 37: 891-895, 1998)</abstract><cop>Tokyo</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>9840716</pmid><doi>10.2169/internalmedicine.37.891</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged AIDS/HIV autopsy Biological and medical sciences CD4 Lymphocyte Count emphysema Fatal Outcome Haemophilus Infections - complications Hematologic and hematopoietic diseases human immunodeficiency virus Humans Lymphopenia - blood Lymphopenia - complications Lymphopenia - drug therapy Male Medical sciences opportunistic infection Opportunistic Infections - complications Other diseases. Hematologic involvement in other diseases Pneumocystis carinii Pneumonia, Bacterial - blood Pneumonia, Bacterial - complications Pneumonia, Pneumocystis - blood Pneumonia, Pneumocystis - complications Recurrence Respiratory Insufficiency - etiology |
| title | Two Cases of Idiopathic CD4+ T-lymphocytopenia in Elderly Patients |
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