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Ann Thorac Surg 1996;62:1613
© 1996 The Society of Thoracic Surgeons


Invited Commentary

Invited Commentary

Arthur N. Thomas, MD

University of California, San Francisco, Box 807, San Francisco, CA 94143

The first 20% of the full text of this article appears below.

See also page 1608.

Persistent, difficult to manage Pneumocystis carinii pneumonia (PCP)-related pneumothorax (PTX), is less frequently a severe problem than was the case a few years ago. More human immunodeficiency virus-positive (HIV+) patients or patients with acquired immunodeficiency syndrome (AIDS) have medical follow-up, and when the CD-4 count is less than 200, prophylactic medication with trimethoprim-sulfamethoxazole, if tolerated, or dapsone is given. The patients with AIDS who receive drug prophylaxis appear to have a less severe PCP, and PTX is proportionately less of a problem. The more severe cases of PCP and PTX appear to occur in patients who have not previously been under medical care, and PCP with PTX . . . [Full Text of this Article]


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Ann. Thorac. Surg. 1996 62: 1608-1613. [Abstract] [Full Text]



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