Document 0518
 DOCN  M9610518
 TI    Spontaneous pneumothorax in children with AIDS.
 DT    9601
 AU    Schroeder SA; Beneck D; Dozor AJ; Department of Pediatrics, New York
       Medical College, Valhalla,; USA.
 SO    Chest. 1995 Oct;108(4):1173-6. Unique Identifier : AIDSLINE MED/96010188
 AB    The incidence of pneumothorax in HIV-infected children has not been
       reported. In adults with AIDS, pneumothorax has been described
       exclusively in association with Pneumocystis carinii pneumonia (PCP). We
       report the cases of three children with AIDS, one with lymphoid
       interstitial pneumonitis (LIP) without evidence of PCP and two with PCP,
       all of whom developed spontaneous pneumothorax (SP). On presentation,
       none of the children had any risk factors for the development of
       pneumothorax, but all had radiographic evidence of subpleural cystic
       lesions and bilateral pleural adhesions. None of the patients responded
       to conservative medical management, which included chest tube
       thoracostomy and chemical pleurodesis. Two patients underwent
       pleurectomy that resulted in resolution of the pneumothorax. Both
       patients with PCP who developed pneumothorax died, but the patient with
       LIP and SP has had no recurrences of any serious respiratory problems 3
       years after pleurectomy and excision of the intrathoracic cysts.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS/PATHOLOGY  Adolescence
       AIDS-Related Opportunistic Infections/COMPLICATIONS/PATHOLOGY  Biopsy
       Case Report  Child  Fatal Outcome  Female  Human  *HIV-1  Lung/PATHOLOGY
       Lung Diseases, Interstitial/COMPLICATIONS/PATHOLOGY  Male  Pneumonia,
       Pneumocystis carinii/COMPLICATIONS/PATHOLOGY
       Pneumothorax/DIAGNOSIS/*ETIOLOGY/PATHOLOGY  JOURNAL ARTICLE  REVIEW
       REVIEW OF REPORTED CASES

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