The Journal of the Japanese Respiratory Society ONLINE JOURNAL
ABSTRACT
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Article in Japanese
Case Report
A Case in which Progressive Emphysematous Changes were Seen on Chest Computed Tomography Associated with Pneumocystis Carinii Pneumonia in a Patient with AIDS
Takayuki Nakagomi, Osamu Kitada, Hitoshi Nakamura, Shigeru Miyata, Kazumi Aragane, Taku Kodama, Kouzou Kuribayashi, Shoko Jin, Noriko Takenaka, Namiko Nagasawa and Minoru Sugita
Department of Internal Medicine, Division of Respiratory Disease, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan
ABSTRACT
A 60-year-old man was admitted to our hospital complaining of progressive dyspnea. On admission, he had marked hypoxemia, and his chest radiography and computed tomography (CT) showed ground glass opacities and multiple emphysematous changes in both lung fields. On examining the patient's bronchoalveolar lavage fluid (BALF), Pneumocystis carinii pneumonia (PCP) was diagnosed. A serological test for human immunodeficiency virus (HIV) -1, 2 was positive, and acquired immunodeficiency syndrome (AIDS) was diagnosed. Since the chest CT performed a month before the patient's admission to our hospital revealed ground glass opacities in both lung fields, we thought that he had already developed PCP at that time. In comparison with his previous CT, the chest CT on admission showed progressive ground glass opacities and emphysematous changes. Although PCP is known to display various findings on chest radiography and CT, emphysematous changes are rarely reported in Japan. In this case we were able to confirm these changes and observe its progression using chest CT.
KEYWORDS: Acquired immunodeficiency syndrome, Pneumocystis carinii pneumonia, Ground glass opacity, Emphysematous change, Pneumothorax
RECEIVED: 2001.12.5
JJRS, 40(10): 812-816, 2002
