Pneumocystis Pneumonia in a Patient with Type 2 Diabetes Mellitus
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概要
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A 76-year-old man, who was in the hospital for the treatment of type 2 diabetes mellitus and was receiving gonadotropin-releasing hormone (GnRH) agonist treatment for prostate cancer, developed fever and hypoxemia. Imaging revealed diffuse interstitial shadows, and PCR of the bronchoalveolar lavage fluid was positive for Pneumocystis jirovecii. The patients absolute CD4-positive lymphocyte count dropped to 145 /μl, but the HIV antibody was negative. After trimethoprim-sulfamethoxazole (TMP/SXT) treatment, the absolute CD4 positive lymphocyte count returned to normal. This patient with type 2 diabetes mellitus developed Pneumocystis pneumonia and developed a transient decrease in CD4-positive lymphocytes.
著者
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Nakazawa Ichiro
Department Of Regenerative Medicine
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Hirano Yusuke
Department Of Biology Faculty Of Science Tokyo Metropolitan University:laboratory Of Plant Biologica
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Kitahara Asako
Department Of Earth Science Chiba University
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Sanno Ken
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Hatanaka Nobuyuki
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Yamagishi Toru
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Kamemura Hirotaka
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Kodaka Norio
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Miura Atsuo
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Sawata Tetsuro
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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Hosaka Kimio
Department of Respiratory Medicine, Toho University Ohashi Medical Center
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