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Early diagnosis of Pneumocystis carinii pneumonia.


Int Conf AIDS. 1992 Jul 19-24;8(3):56 (abstract no. PuB 7047). Unique

OBJECTIVES: To assess the efficacy of 67Gallium lung scan at the early detection of the Pneumocystis Carinii Pneumonia (PCP). METHODS: 10 patients have to be studied (9 males, 1 female; median age 28, 6IVDU, 2 homosexual men, 2 heterosexual transmission) without respiratory symptomatology, with CD4 less than 500 mm (ranged from 30-450 with a mean of 124) and with a normal chest radiography. All of them underwent a 67Gallium lung scan. RESULTS: 2 patients had a bilateral diffused imaging, for which reason they underwent a bronchoscopy, so it remained apart in the bronchoalveolar lavage pneumocystis carinii. One month ago the first patient showed an episode of cerebral toxoplasmosis with a quantity of CD4 77 and Pa O2 97. The second patient showed a Kaposi's Sarcoma with a quantity of CD4 60 and Pa O2 95. CONCLUSIONS: In accordance with these information, we believe that 67Gallium lung scan would be useful for patients without respiratory symptomatology with a normal chest radiography, for those who have a diagnosis of disease associated with infection because of the HIV and/or those who have the quantity of CD4 less than 200. There is another point to determine, that is the relation cost-benefits of the method 67Gallium lung scan at the early detection of PCP.

Adult Female Gallium Radioisotopes/DIAGNOSTIC USE Human Lung/RADIOGRAPHY/RADIONUCLIDE IMAGING Male Pneumonia, Pneumocystis carinii/RADIOGRAPHY/*RADIONUCLIDE IMAGING Time Factors ABSTRACT


Information in this article was accurate in December 30, 1992. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.