Case report: Hypothyroidism due to pneumocystis carinii thyroiditis in a patient with acquired immunodeficiency syndrome

R. D. Spitzer, J. C. Chan, J. B. Marks, B. R. Valme, J. M. McKenzie

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Pneumocystis carinii is the most common cause of opportunistic pulmonary infection in AIDS patients and disseminated disease is being recognized with increasing frequency. We describe a patient with cavitary pulmonary disease, lymphadenopathy, thyroiditis, and associated hypothyroidism, all a result of P. carinii. The organism was easily demonstrated in a fine-needle aspirate specimen of the thyroid. This is the second reported case of clinically apparent Pneumocystis thyroiditis and the first reported case of hypothyroidism due to an opportunistic infection in a patient with AIDS. Clinicians should be aware of this entity and request a Grocott-Gomori methenamine-silver nitrate stain of appropriate cytology specimens to make the diagnosis.

Original languageEnglish (US)
Pages (from-to)98-100
Number of pages3
JournalAmerican Journal of the Medical Sciences
Volume302
Issue number2
DOIs
StatePublished - Jan 1 1991

Keywords

  • Acquired immunodeficiency syndrome
  • Disseminated
  • Hypothyroidism
  • P. carinii pneumonia
  • Thyroid disorders
  • Thyroiditis

ASJC Scopus subject areas

  • Medicine(all)

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