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Klinik und Diagnose der Pneumocystis carinii Pneumonie

  • G. Höffken
Conference paper
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Zusammenfassung

Die Pneumocystis carinii Pneumonie ist die häufigste pulmonale Komplikation bei Patienten mit dem erworbenen Immundefektsyndrom. Die klinische Symptomatik ist durch die Trias unproduktiver Husten, Luftnot und Fieber charakterisiert. Die Störungen im alveoloarteriellen Gasaustausch erklärten die Befunde dieser Lungenerkrankung mit Abfall des Sauerstoffpartialdruckes, einer Erniedrigung der Sauerstoffsättigung und der Vitalkapazität. Radiologische Veränderungen zeigen ein breites Spektrum vom Normalbefund bis hin zu schweren bilateralen diffusen Infiltraten. Die Erreger können definitiv nur mikroskopisch durch verschiedene Färbeverfahren (wie Versilberungstechnik nach Grocott oder Giemsa- Färbung) nachgewiesen werden. Geeignete Untersuchungsmaterialien sind induziertes Sputum, bronchoalveoläre Lavage sowie die transbronchiale Biopsie.

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© Springer-Verlag Berlin Heidelberg 2011

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  • G. Höffken

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