INTRODUCTION: Spontaneous pneumothorax (SP) is a frequent complication in non-treated HIV-infected patients as a complication of opportunistic infections and tumours. OBJECTIVE: To analyse the aetiology of SP in non-treated HIV patients. PATIENTS AND METHODS: Observational study of SP cases observed in a cohort of 9831 of non-treated HIV-infected patients attended in seven Spanish hospitals. RESULTS: 105 patients (1.06%) developed SP. The aetiological cause was identified in 89 patients. The major causes identified were: bacterial pneumonia (36 subjects, 34.3%); Pneumocystis jiroveci pneumonia (PJP) (31 patients, 29.5%); and pulmonary tuberculosis (17 cases, 15.2%). The most common cause of SP in drugs users was bacterial pneumonia (40%), whereas PJP was more common (65%) in sexual transmitted HIV-patients. The most common cause of bilateral SP was PJP (62.5%) whereas unilateral SP was most commonly associated with bacterial pneumonia (40.2%). The most common cause of SP in patients with a CD4+ lymphocyte count >200 cells/ml and in patients without AIDS criteria was bacterial pneumonia. PJP was the more common cause in patients with a CD4+ lymphocyte count <200 cells/ml or with AIDS. CONCLUSION: The incidence of SP in non-treated HIV-infected patients was 1.06%. The aetiology was related to the patients risk practices and to their degree of immunosuppression. Bacterial pneumonia was the most common cause of SP.
INTRODUCTION: Spontaneous pneumothorax (SP) is a frequent complication in non-treated HIV-infectedpatients as a complication of opportunistic infections and tumours. OBJECTIVE: To analyse the aetiology of SP in non-treated HIVpatients. PATIENTS AND METHODS: Observational study of SP cases observed in a cohort of 9831 of non-treated HIV-infectedpatients attended in seven Spanish hospitals. RESULTS: 105 patients (1.06%) developed SP. The aetiological cause was identified in 89 patients. The major causes identified were: bacterial pneumonia (36 subjects, 34.3%); Pneumocystis jiroveci pneumonia (PJP) (31 patients, 29.5%); and pulmonary tuberculosis (17 cases, 15.2%). The most common cause of SP in drugs users was bacterial pneumonia (40%), whereas PJP was more common (65%) in sexual transmitted HIV-patients. The most common cause of bilateral SP was PJP (62.5%) whereas unilateral SP was most commonly associated with bacterial pneumonia (40.2%). The most common cause of SP in patients with a CD4+ lymphocyte count >200 cells/ml and in patients without AIDS criteria was bacterial pneumonia. PJP was the more common cause in patients with a CD4+ lymphocyte count <200 cells/ml or with AIDS. CONCLUSION: The incidence of SP in non-treated HIV-infectedpatients was 1.06%. The aetiology was related to the patients risk practices and to their degree of immunosuppression. Bacterial pneumonia was the most common cause of SP.
Authors: Wojciech Rokicki; Marek Rokicki; Jacek Wojtacha; Marek Filipowski; Agata Dżejlili; Damian Czyżewski Journal: Kardiochir Torakochirurgia Pol Date: 2016-12-30
Authors: Òscar Miró; Pere Llorens; Sònia Jiménez; Pascual Piñera; Guillermo Burillo-Putze; Alfonso Martín; Francisco Javier Martín-Sánchez; Eric Jorge García-Lamberetchs; Javier Jacob; Aitor Alquézar-Arbé; Josep Maria Mòdol; María Pilar López-Díez; Josep Maria Guardiola; Carlos Cardozo; Francisco Javier Lucas Imbernón; Alfons Aguirre Tejedo; Ángel García García; Martín Ruiz Grinspan; Ferran Llopis Roca; Juan González Del Castillo Journal: Chest Date: 2020-11-20 Impact factor: 9.410
Authors: Young Min Cho; Sara Guevara; Judith Aronsohn; James M Mumford; Linda Shore-Lesserson; Santiago J Miyara; Martin Herrera; Claudia Kirsch; Christine N Metz; Stefanos Zafeiropoulos; Dimitrios Giannis; Alexia McCann-Molmenti; Kei Hayashida; Koichiro Shinozaki; Muhammad Shoaib; Rishabh C Choudhary; Gabriel I Aranalde; Lance B Becker; Ernesto P Molmenti; James Kruer; Anthony Hatoum Journal: Front Med (Lausanne) Date: 2021-12-16