geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

AIDS-related spontaneous pneumothorax. Risk factors and treatment


, : AIDS-related spontaneous pneumothorax. Risk factors and treatment. Chest 108(4): 946-951

Objective: To define risk factors and optimum therapy for AIDS-related spontaneous pneumothorax (PTX). Design: Case-control study. Setting: Tertiary care center. Patients: Thirty-five patients with AIDS who developed spontaneous PTX between January 1, 1988 and December 31, 1991, of whom 27 (77.1%) did so in the setting of Pneumocystis carinii pneumonia (PCP). Forty-one patients who were diagnosed as having PCP and did not develop PTX served as the control group. Results: Using logistic regression, a history of cigarette smoking, aerosolized pentamidine treatment, and the observation of pneumatoceles by chest radiography were associated with an increased risk of PTX. Although not associated with an increased risk of occurrence of PTX, the use of systemic corticosteroids for PCP treatment was associated with a longer requirement for chest tube drainage. Although chest tube drainage alone was often successful, chemical and surgical pleurodesis was often effective in treating prolonged air leaks and was associated with a lower incidence of recurrent PTX, although this difference did not achieve statistical significance (p=0.07). Conclusions: Patients at high risk of developing AIDS-related spontaneous PTX can be identified. Systemic corticosteroids may increase the risk of morbidity from AIDS-related PTX. Chemical and surgical pleurodesis may be of value in short-term treatment and in reducing the risk of recurrence.

US$29.90

PMID: 7555166


Other references

Bukhari, U.; Sadiq, S.; Memon, J.Hussin.; Baig, F., 2010: Thyroid carcinoma--experience at Jinnah Postgraduate Medical Centre Karachi. To evaluate the frequency and types of thyroid carcinoma with respect to age and sex groups. This was a retrospective study conducted at the Department of Pathology, Basic Medical Sciences Institute, Jinnah postgraduate medical centre Karachi. A t...

Dixit, A.; Birmani Gaunkar, R.; Arora, V.; Dixit, S.K.; Gupta, N.Kumar.; Chandra, P.; Agarwal, B., 2013: Comment on "Computed Tomography Evaluation of Craniomandibular Articulation in Class II Division 1 Malocclusion and Class I Normal Occlusion Subjects in North Indian Population". Clear statement of objective, appropriate location of landmarks and removal of subjective bias in measurement is essential in all kinds of research, especially, orthodontics. The research design should be rationalistic, purposeful, and in accordan...

Ray, P.K.; Simmons, R.L., 1971: Sialomucinous coating of normal and malignant cells. Surgical Forum 22: 101-103

Luke, C., 1996: Animal shelter issues. Journal of the American Veterinary Medical Association 208(4): 524-527

Simmons, D.; Rush, E.; Crook, N., 2009: Prevalence of undiagnosed diabetes, impaired glucose tolerance, and impaired fasting glucose among Maori in Te Wai o Rona: Diabetes Prevention Strategy. To describe the prevalence of undiagnosed diabetes, impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) ("dysglycaemia") among Maori. Te Wai o Rona: Diabetes Prevention Strategy was a trial of lifestyle change among Maori...

Meryman, H.T., 1979: The cryopreservation of blood cells for clinical use. Progress in Hematology 11: 193-227

Thurston, H.David; Cotton, C., R., 1998: Slash/mulch systems (book review). Economic Botany 52(1): 0

Kaltiala E.H.; Lenkkeri H.; Larmi T.K.I., 1972: The peutz jeghers syndrome 3 cases in the same family. Annales Chirurgiae et Gynaecologiae Fenniae 61(2): 119-123

Honigsbaum, M.; Knapp, S., R., 2002: The fever trail (book review). Nature 418(6900): 0-1

Olivar, M P., 1987: Ichthyoplankton assemblages off northern Namibia. South African Journal of: 627-643 (5)