       Document 0710
 DOCN  M9630710
 TI    Cryptococcal pneumonia in patients with the acquired immunodeficiency
       syndrome.
 DT    9603
 AU    Friedman EP; Miller RF; Severn A; Williams IG; Shaw PJ; Department of
       Imaging, University College London Hospitals (NHS); Trust, UK.
 SO    Clin Radiol. 1995 Nov;50(11):756-60. Unique Identifier : AIDSLINE
       MED/96080101
 AB    Infection with Cryptococcus neoformans occurs with increased frequency
       in patients with the human immunodeficiency virus (HIV). Despite the
       lungs being the portal of entry for the fungus the commonest
       presentation is with meningitis: Cryptococcal broncho pulmonary
       infection occurs less commonly. The chest radiographs of fourteen HIV
       positive patients with cryptococcal pneumonia were reviewed. The
       commonest radiographic abnormalities were interstitial infiltrates,
       (nine patients) and focal or widespread alveolar consolidation (seven
       patients). Ground glass shadowing, not previously described in
       cryptococcal pneumonia, occurred in six radiographs, miliary nodules in
       one, lymphadenopathy in four, and small pleural effusions in three. Two
       patients had a normal chest radiograph. In contrast to previous reports,
       we found alveolar consolidation and ground glass shadowing to be common
       and nodules and cavitation to be rare. Cryptococcal pneumonia should be
       considered in the differential diagnosis of Pneumocystis carinii
       pneumonia, bacterial pneumonia and miliary tuberculosis in HIV positive
       patients.
 DE    Adult  AIDS-Related Opportunistic Infections/*RADIOGRAPHY
       Cryptococcosis/*RADIOGRAPHY  Cryptococcus neoformans  Diagnosis,
       Differential  Female  Human  Lymphatic Diseases/MICROBIOLOGY  Male
       Middle Age  Pleural Effusion/MICROBIOLOGY
       Pneumonia/MICROBIOLOGY/*RADIOGRAPHY  Pneumonia, Pneumocystis
       carinii/RADIOGRAPHY  Retrospective Studies  JOURNAL ARTICLE

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

