T. Lazard et al., GENERALIZED AIR CYSTS COMPLICATED BY FATAL BILATERAL PNEUMOTHORACES IN A PATIENT WITH AIDS-RELATED PNEUMOCYSTIS-CARINII PNEUMONIA, Chest, 106(4), 1994, pp. 1271-1272
We describe a case of air cyst lesions in an AIDS patient suffering fr
om pneumocystis carinii pneumonia. This case is unique because these l
esions were generalized to both lungs and initially well tolerated. Pa
thologic examination revealed extensive tissue invasion by P carinii.
The prognosis was complicated by bilateral pneumothoraces. Surgical ri
ght pleurodesis allowed lung re-expansion but did not prevent recurren
ce of fatal contralateral pneumothorax.