Pulmonary Disease in the Immunocompromised Host (Second of Two Parts)*

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Presentation transcript:

Pulmonary Disease in the Immunocompromised Host (Second of Two Parts)* WALTER R. WILSON, M.D., FRANKLIN R. COCKERILL, M.D. Mayo Clinic Proceedings Volume 60, Issue 9, Pages 610-631 (September 1985) DOI: 10.1016/S0025-6196(12)60985-9 Copyright © 1985 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Findings associated with pulmonary lesions in the immunocompromised host. Upper Left, Ecthyma gangrenosum lesions in vaginal area. Upper Middle, Venous thrombosis as etiologic factor in ecthyma gangrenosum. Vessel wall had been invaded by Pseudomonas aeruginosa. Upper Right, Aeromonas hydrophila skin lesions. Lower Left, Skin lesions caused by Mycobacterium avium-intracellulare complex in patient with acquired immunodeficiency syndrome. Lower Middle, Trichosporon skin lesions. Lower Right, Cryptococcus neoformans skin lesion. Mayo Clinic Proceedings 1985 60, 610-631DOI: (10.1016/S0025-6196(12)60985-9) Copyright © 1985 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 6 Computed tomographic scan of head, showing Aspergillus brain abscess caused by extension of otitis externa. Mayo Clinic Proceedings 1985 60, 610-631DOI: (10.1016/S0025-6196(12)60985-9) Copyright © 1985 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 7 Roentgenogram of patient with Ludwig's angina, showing gas in soft tissues. Mayo Clinic Proceedings 1985 60, 610-631DOI: (10.1016/S0025-6196(12)60985-9) Copyright © 1985 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 8 Diagnostic and therapeutic approach for pulmonary disease in immunocompromised patients. The high incidence of side effects to antimicrobial agents in patients with AIDS may preclude their empiric use. AIDS = acquired immunodeficiency syndrome; CMV = cytomegalovirus; TMP-SMX = trimethoprim-sulfamethoxazole; V/Q = ventilation-perfusion. Mayo Clinic Proceedings 1985 60, 610-631DOI: (10.1016/S0025-6196(12)60985-9) Copyright © 1985 Mayo Foundation for Medical Education and Research Terms and Conditions