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October 22, 1982

Association of Pneumocystis carinii Pneumonia and Scabies

Author Affiliations

Kochi Medical School Kochi, Japan

JAMA. 1982;248(16):1973. doi:10.1001/jama.1982.03330160025011

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To the Editor.—  The report by Waldhorn et al (1982;247:1860) of a fatal case of Pneumocystis carinii pneumonia (PCP) in a homosexual man is of great interest. Pneumocystis carinii pneumonia is exclusively a disease of immunocompromised hosts. We report herein a case of PCP in a previously healthy woman with no history of abnormal sexual behavior or drug abuse. The disease was diagnosed by transbronchial biopsy and was cured by the oral administration of sulfamethoxazole and trimethoprim. Although there was no evidence of cytomegalovirus (CMV) infection, she was concurrently afflicted with scabies.

Report of a Case.—  A 36-year-old woman was admitted to our hospital because of diffuse, fluffy shadows in both lung fields. She had worked as a dressmaker for ten years, and her husband was healthy. A chest roentgenogram taken five months earlier for an annual checkup was normal, and her only complaint on admission was exertional dyspnea of