Abstract
Pneumocystis carinii is a common opportunistic pathogen in patients infected with the human immunodeficiency virus (HIV).Pneumocystis carinii pneumonia is common, while extrapulmonary infections withPneumocystis carinii have been reported sparingly. The clinical features are frequently nonspecific. The detection ofPneumocystis carinii in cerebrospinal fluid (CSF) has not been reported thus far. In this report, an unusual case ofPneumocystis carinii meningoradiculitis in an HIV-infected patient who had previously received primary prophylaxis with trimethoprimsulfamethoxazole is presented.
Similar content being viewed by others
References
Cohen OJ, Stoeckle MY: ExtrapulmonaryPneumocystis carinii infections in the acquired immunodeficiency syndrome. Archives of Internal Medicine 1991, 151: 1205–1214.
Dieterich DT, Lew EA, Bacon DJ, Pearlman KI, Scholes JV: Gastrointestinal pneumocystosis in HIV infected patients on aerosolized pentamidine: report of five cases and literature review. American Journal of Gastroenterology 1992, 87: 1763–1770.
Mayayo E, Vidal F, Alvira R, González J, Richart C: CerebralPneumocystis carinii infection in AIDS. Lancet 1990, 336: 1592.
Davey RT, Margolis D, Kleiner D, Deyton L, Travis W: Digital necrosis and disseminatedPneumocystis carinii infection after aerosolized pentamidine prophylaxis. Annals of Internal Medicine 1989, 111: 681–682.
Northfelt DW, Clement MJ, Rafrin S: Extrapulmonary pneumocystosis: clinical features in human immunodeficiency virus infection. Medicine (Baltimore) 1990, 69: 392–398.
Raviglione MC: Extrapulmonary pneumocystosis: the first 50 cases. Reviews of Infectious Diseases 1990, 12: 1127–1138.
Gutler R, Singer PA:Pneumocystis carinii thyroiditis. Report of three cases and review of the literature. Archives of Internal Medicine 1993, 153: 393–396.
Telzak EE, Cote RJ, Gold JWM, Campbell SW, Armstrong D: ExtrapulmonaryPneumocystis carinii infections. Reviews of Infectious Diseases 1990, 12: 380–386.
Unger PD, Rosenblum M, Krown S: DisseminatedPneumocystis carinii infection in a patient with acquired immunodeficiency syndrome. Human Pathology 1988, 19: 113–116.
Bartlett JA, Hulette C: Central nervous system pneumocystosis in a patient with AIDS. Clinical Infectious Diseases 1997, 25: 82–85.
Cohen BA, McArthur JC, Grohman S, Patterson B, Glass JD: Neurologic prognosis of cytomegalovirus polyradiculomyelopathy in AIDS. Neurology 1993, 43: 493–499.
Dromer F, Moulignier A, Dupont B, Guého E, Baudrimont M, Improvisi L, Provost F, González-Canali G: Myeloradiculitis due toCryptococcus curvatus in AIDS. AIDS 1995, 9: 395–396.
Calderon EJ, Rey C, Medrano FJ, Sánchez-Roman J, Soriano V, Torres Y, Ruiz M, Lissen E, Leal M: Prevalence of infection by human T cell leukemia virus type I and II in southern Spain. European Journal of Clinical Microbiology & Infectious Diseases 1995, 14: 686–690.
Cregan P, Yamamoto A, Lumm A, Van der Heide T, McDonald M, Pullman L: Comparison of four methods for rapid detection ofPneumocystis carinii in respiratory specimens. Journal of Clinical Microbiology 1990, 28: 2432–2436.
Bozzette SA, Finkelstein DM, Spector SA, Frame P, Powderly WG, He W, Phillips L, Graven D, Van der Horst C, Feinberg J, for the NIAID AIDS Clinical Trials Group: A randomized trial of three antipneumocystis agents in patients with advanced human immunodeficiency virus infection. New England Journal of Medicine 1995, 332: 693–699.
Price RW: Management of neurologic complications of HIV-1 infection and AIDS. In: Sande MA, Volverding PA (ed): The medical management of AIDS. W. B. Saunders, Philadelphia, 1997, p. 197–216, 261–288.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Villanueva, J.L., Cordero, E., Caballero-Granado, F.J. et al. Pneumocystis carinii Meningoradiculitis in a patient with AIDS. Eur. J. Clin. Microbiol. Infect. Dis. 16, 940–942 (1997). https://doi.org/10.1007/BF01700565
Issue Date:
DOI: https://doi.org/10.1007/BF01700565