Document 0026
 DOCN  M9580026
 TI    Pneumonia due to Staphylococcus aureus in a patient with AIDS: review of
       incidence and report of an atypical roentgenographic presentation.
 DT    9506
 AU    Dicpinigaitis PV; Levy DE; Gnass RD; Bernstein RG; Department of
       Medicine, Albert Einstein College of Medicine,; Bronx, NY, USA.
 SO    South Med J. 1995 May;88(5):586-90. Unique Identifier : AIDSLINE
       MED/95250057
 AB    Multiple defects in host defense mechanisms produce an increased
       incidence of community-acquired bacterial pneumonia in individuals
       infected with the human immunodeficiency virus. Clinical studies suggest
       that Staphylococcus aureus is an uncommon cause of such infections,
       though its incidence is increased in the setting of intravenous drug
       use, indwelling vascular catheter, and coexistent pulmonary Kaposi's
       sarcoma or pneumonia due to Pneumocystis carinii. The significantly
       higher incidence of S aureus pneumonia documented in autopsy series
       suggests that the infection frequently remains undiagnosed ante mortem.
       The clinical and radiologic presentation of staphylococcal pneumonia in
       HIV-seropositive patients is similar to that seen in immunocompetent
       hosts. However, atypical radiographic patterns can occur. We describe a
       case of S aureus pneumonia manifested as an infiltrate with focal
       predominance and multiple cavitary lesions. Such a radiologic appearance
       has not previously been described in this population. Given the
       likelihood that pneumonia due to S aureus is significantly
       underdiagnosed ante mortem, a high index of clinical suspicion is
       warranted.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adult  Case Report
       Human  HIV Seropositivity  Immunocompromised Host  Incidence
       Lung/*RADIOGRAPHY  Lung Neoplasms/EPIDEMIOLOGY  Male  Pneumonia,
       Staphylococcal/*EPIDEMIOLOGY/MICROBIOLOGY/*RADIOGRAPHY  Sarcoma,
       Kaposi's/EPIDEMIOLOGY  Tomography, X-Ray Computed  JOURNAL ARTICLE
       REVIEW  REVIEW, TUTORIAL

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