The Journal of the Japanese Respiratory Society ONLINE JOURNAL
ABSTRACT
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Article in Japanese
Case Report
A HTLV-I Carrier Initially Treated for Pneumocystis carinii Pneumonia
Tomoyoshi Itoh, Hiromasa Ban, Ryuichiro Takamura, Takahiro Yoshikawa, Toyoki Kodama and Yoshinori Tamagaki
Department of Respiratory Medicine, Bell Land General Hospital,
500-3 Higashiyama, Sakai City, Osaka 599-8247, Japan
ABSTRACT
A 65-year-old woman was admitted to the hospital with complaints of dyspnea on effort. Chest radiography and CT revealed bilateral interstitial infiltration. Transbronchial lung biopsy specimens revealed organisms of Pneumocystis carinii. Sulfamethoxazole-trimethoprim improved the patient's radiograph and CT, and although a positive reaction was obtained for anti-HTLV-I antibody, the hematological findings and clinical symptoms did not suggest that she had an ATL. Since discharge, she has been receiving maintenance therapy at the outpatient clinic because an opportunistic infection is predictive of the development of ATL.
KEYWORDS: Adult T-cell leukemia(ATL), HTLV-I carrier, Pneumocystis carinii pneumonia, Opportunistic infection, Transbronchial lung biopsy
RECEIVED: 2002.1.21
JJRS, 40(10): 822-826, 2002
