       Document 0221
 DOCN  M9610221
 TI    Spectrum of chest radiographic abnormalities in children with AIDS and
       Pneumocystis carinii pneumonia.
 DT    9601
 AU    Sivit CJ; Miller CR; Rakusan TA; Ellaurie M; Kushner DC; Department of
       Diagnostic Imaging and Radiology, Children's; National Medical Center,
       Washington, DC 20010, USA.
 SO    Pediatr Radiol. 1995;25(5):389-92. Unique Identifier : AIDSLINE
       MED/96058132
 AB    This report aims to provide a description of the spectrum of
       radiographic findings in children with AIDS and Pneumocystis carinii
       pneumonia (PCP). The chest radiographs of all children with perinatally
       transmitted HIV infection who had PCP were reviewed. Thirty-eight
       episodes of PCP were noted in 32 children. The age range was 2-17
       months. The radiographic findings were characterized as to pattern,
       severity, presence of pulmonary air cyst, thoracic air leak, thoracic
       lymphadenopathy, and pleural effusion. The initial distribution of
       disease was as follows: diffuse (n = 20), patchy (n = 12), focal (n =
       4), normal (n = 2). In nearly one-third of children parenchymal
       abnormalities were mild enough that most normal lung markings were
       visible. During the course of the illness pneumothorax was noted in
       eight cases, pulmonary air cyst in five, and pneumomediastinum in one.
       Pleural effusions were noted in three (5%) cases. Thoracic
       lymphadenopathy was not observed in any case. The authors concluded that
       the initial chest radiographic appearance of PCP in children with AIDS
       is variable. The initial chest radiograph may be normal. The
       distribution was patchy or focal in nearly one-half of all cases with
       parenchymal abnormalities. Pulmonary air cysts or thoracic air leaks
       were noted during the course of the illness in approximately one-third
       of all cases.
 DE    Acquired Immunodeficiency Syndrome/*CONGENITAL  AIDS-Related
       Opportunistic Infections/*RADIOGRAPHY  Female  Human  Infant  Male
       Pneumonia, Pneumocystis carinii/*RADIOGRAPHY  *Thoracic Radiography
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

