Pregnancy and AIDS three cases of Pneumocystis carinii pneumonia.docVIP

 PAGE \* MERGEFORMAT 7 Pregnancy and AIDS three cases of Pneumocystis carinii pneumonia [Keywords:] AIDS, Pneumocystis carinii pneumonia pregnancy AIDS (AIDS rapid transmission speed, the global epidemic, has been from high risk groups to the general population quickly spread, resulting in many maternal and fetal infant death. Our hospital from January 2005 to December 2008, the hospital received the human immunodeficiency virus AIDS virus (HIV infection and AIDS (AIDS) in pregnant women, 32 cases, of which 3 cases diagnosed as Pneumocystis carinii pneumonia (PCP, these 3 cases reported as follows. Medical record 1. Patients with a 27 years old, migrant workers, unmarried and living with her boyfriend for over a year now. Former boyfriend of cohabitation history of drug use for many years, has died, a pregnancy stillbirths. The first trimester of pregnancy from the beginning recurrent fever, cough, shortness of breath, in Guangdong community clinics and the flu by pregnancy, pneumonia, treatment of 7 months, no improvement, back to the local treatment of exacerbations, and proposed treatment for pneumonia 3 days of pregnancy, HIV antibody positive blood examination was transferred to our hospital. admission, high fever, cough gas promote, palpitations, diarrhea, more than 10 days, with generalized weakness, dizziness, anorexia, difficulty swallowing, examination: T40 , P 132 beats / min, R 34 beats / min, Bp 90/59 mmHg, supine difficult A bed perioral cyanosis, body skin rash, multiple subcutaneous ecchymosis, oral pharynx see rubbish like material, a small amount of auscultation auscultation of both lungs, house high 28 cm, abdominal circumference 90 cm, fetal heart sound 170 times / min chest and abdomen CT: lungs transmittance reduced ground glass double lung field was changed, the two on the pneumonia disease and heart failure caused by pulmonary congestion change, bilateral pleural effusion and a small amount of diagonal cracking, liver, liv