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November 1989

Three Opportunistic Infections Associated With Ectopic Corticotropin Syndrome

Author Affiliations

From the Departments of Laboratory Medicine (Drs Sieber, Gelfman, and Braza) and Medicine (Drs Dandurand and Iannini), Danbury (Conn) Hospital.

Arch Intern Med. 1989;149(11):2589-2591. doi:10.1001/archinte.1989.00390110133029

• Cytomegalovirus pneumonia, Pneumocystis carinii pneumonia, and pulmonary and disseminated aspergillosis occurred simultaneously in a 66-year-old white man with oat cell carcinoma and ectopic corticotropin production. Hypokalemia, a recent normal chest roentgenogram, and a large left adrenal mass on a computed tomographic scan confused the initial clinical evaluation. The aspergillosis proved fulminant and lethal.

(Arch Intern Med. 1989;149:2589-2591)