Pneumocystis carinii pneumonia in young children with AIDS
We present our experience with 54 episodes of Pneumocystis carinii pneumonia in 50 young children with AIDS, all but one representing congenitally acquired infection. Findings at history and physical examination are not helpful in suggesting the diagnosis. The diagnosis is suggested by marked hypoxe...
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Veröffentlicht in: | Pediatric pulmonology 1990, Vol.9 (4), p.251-253 |
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creator | Bye, Michael R. Bernstein, Larry J. Glaser, Joy Kleid, David |
description | We present our experience with 54 episodes of Pneumocystis carinii pneumonia in 50 young children with AIDS, all but one representing congenitally acquired infection. Findings at history and physical examination are not helpful in suggesting the diagnosis. The diagnosis is suggested by marked hypoxemia, diffuse disease on chest radiograph, and elevated serum LDH level. Because important aspects of the history may be withheld, a high index of suspicion may be necessary for the correct diagnosis. The mortality rate for ventilated patients was 50%. Pediatr Pulmonal 1990; 9:251–253. |
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Findings at history and physical examination are not helpful in suggesting the diagnosis. The diagnosis is suggested by marked hypoxemia, diffuse disease on chest radiograph, and elevated serum LDH level. Because important aspects of the history may be withheld, a high index of suspicion may be necessary for the correct diagnosis. The mortality rate for ventilated patients was 50%. 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Pulmonol</addtitle><description>We present our experience with 54 episodes of Pneumocystis carinii pneumonia in 50 young children with AIDS, all but one representing congenitally acquired infection. Findings at history and physical examination are not helpful in suggesting the diagnosis. The diagnosis is suggested by marked hypoxemia, diffuse disease on chest radiograph, and elevated serum LDH level. Because important aspects of the history may be withheld, a high index of suspicion may be necessary for the correct diagnosis. The mortality rate for ventilated patients was 50%. Pediatr Pulmonal 1990; 9:251–253.</description><subject>Acquired Immunodeficiency Syndrome - complications</subject><subject>Acquired Immunodeficiency Syndrome - congenital</subject><subject>AIDS/HIV</subject><subject>alveolar-arterial P O 2 gradient</subject><subject>Biological and medical sciences</subject><subject>bronchoalveolar and tracheobronchial lavage</subject><subject>Child, Preschool</subject><subject>Congenital infection</subject><subject>Humans</subject><subject>Infant</subject><subject>Medical sciences</subject><subject>Pneumocystis carinii</subject><subject>Pneumology</subject><subject>Pneumonia, Pneumocystis - complications</subject><subject>Pneumonia, Pneumocystis - diagnosis</subject><subject>Pneumonia, Pneumocystis - therapy</subject><subject>serum LDH</subject><subject>serum LDH, alveolar–arterial P O 2 gradient</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL1PwzAQxS0EKqUwMyFlQGyh5yS2Y5hQgdKqgooPMVqO44AhTYLdCPLfk9KoiInpTne_9-70EDrEcIoBgmFV1fkp5gSAQ4TxFupj4NyHiNNt1I8ZIT6NabiL9px7g5biHPdQLwgIJyTuo7N5oetFqRq3NM5T0prCGK_6GRZGeqbwmrIuXjz1avLU6sL7NMtX72Jy-bCPdjKZO33Q1QF6ur56HN34s7vxZHQx81UUBdinaapDIEwDZ4wkmAPFFKIglgmJdRZlUvEowTikKoO2VYrLhDHJeaooVTQcoJO1b2XLj1q7pVgYp3Sey0KXtRMxYBZSFv8LYsI4I1HYgsM1qGzpnNWZqKxZSNsIDGIVq1jFKn5jbRVHnXWdLHS64bsc2_1xt5dOyTyzslDGbbD2KMR0ZXO-xj5Nrpv_ror5_Gn25wl_rTZuqb82amnfBWUhI-L5dizo9JmNLtlU3IffYuCf0Q</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>Bye, Michael R.</creator><creator>Bernstein, Larry J.</creator><creator>Glaser, Joy</creator><creator>Kleid, David</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><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>7U9</scope><scope>H94</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>Pneumocystis carinii pneumonia in young children with AIDS</title><author>Bye, Michael R. ; Bernstein, Larry J. ; Glaser, Joy ; Kleid, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4421-6dde3057e09775b1906160428ab58ef4fac94b1136cf0c94cc9ab77a99dc66c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Acquired Immunodeficiency Syndrome - complications</topic><topic>Acquired Immunodeficiency Syndrome - congenital</topic><topic>AIDS/HIV</topic><topic>alveolar-arterial P O 2 gradient</topic><topic>Biological and medical sciences</topic><topic>bronchoalveolar and tracheobronchial lavage</topic><topic>Child, Preschool</topic><topic>Congenital infection</topic><topic>Humans</topic><topic>Infant</topic><topic>Medical sciences</topic><topic>Pneumocystis carinii</topic><topic>Pneumology</topic><topic>Pneumonia, Pneumocystis - complications</topic><topic>Pneumonia, Pneumocystis - diagnosis</topic><topic>Pneumonia, Pneumocystis - therapy</topic><topic>serum LDH</topic><topic>serum LDH, alveolar–arterial P O 2 gradient</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bye, Michael R.</creatorcontrib><creatorcontrib>Bernstein, Larry J.</creatorcontrib><creatorcontrib>Glaser, Joy</creatorcontrib><creatorcontrib>Kleid, David</creatorcontrib><collection>Istex</collection><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>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bye, Michael R.</au><au>Bernstein, Larry J.</au><au>Glaser, Joy</au><au>Kleid, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumocystis carinii pneumonia in young children with AIDS</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr. Pulmonol</addtitle><date>1990</date><risdate>1990</risdate><volume>9</volume><issue>4</issue><spage>251</spage><epage>253</epage><pages>251-253</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><coden>PEPUES</coden><abstract>We present our experience with 54 episodes of Pneumocystis carinii pneumonia in 50 young children with AIDS, all but one representing congenitally acquired infection. Findings at history and physical examination are not helpful in suggesting the diagnosis. The diagnosis is suggested by marked hypoxemia, diffuse disease on chest radiograph, and elevated serum LDH level. Because important aspects of the history may be withheld, a high index of suspicion may be necessary for the correct diagnosis. The mortality rate for ventilated patients was 50%. Pediatr Pulmonal 1990; 9:251–253.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>2259558</pmid><doi>10.1002/ppul.1950090411</doi><tpages>3</tpages></addata></record> |
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subjects | Acquired Immunodeficiency Syndrome - complications Acquired Immunodeficiency Syndrome - congenital AIDS/HIV alveolar-arterial P O 2 gradient Biological and medical sciences bronchoalveolar and tracheobronchial lavage Child, Preschool Congenital infection Humans Infant Medical sciences Pneumocystis carinii Pneumology Pneumonia, Pneumocystis - complications Pneumonia, Pneumocystis - diagnosis Pneumonia, Pneumocystis - therapy serum LDH serum LDH, alveolar–arterial P O 2 gradient |
title | Pneumocystis carinii pneumonia in young children with AIDS |
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