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November 1975

Pneumocystis carinii in a Vietnamese Foundling

Author Affiliations

Division of Pediatric Infectious Diseases University of Iowa Hospitals Iowa City, IA 52242; 4217 Utica Ridge Rd Bettendorf, IA 52274

Am J Dis Child. 1975;129(11):1361. doi:10.1001/archpedi.1975.02120480071019

Recently, Pneumocystis carinii pneumonitis has been reported in two Vietnamese foundlings.1,2 Therapy consisted of pentamidine isethionate and correction of the malnourished condition; one child died.1 We wish to describe another example of P carinii pneumonitis in a Vietnamese foundling.

Report of a Case.—A Vietnamese boy was born in April 1974. His Vietnamese records disclosed multiple episodes of cellulitis, cough, and fever in July 1974. A chest roentgenogram at that time was reported to show "air bronchograms behind the heart." On arrival in this country (September 1974), he was hospitalized because of persistent rhinitis, cough, and clinically apparent pneumonitis. He was malnourished (3.75 kg [8.25 lb]) and had multiple cutaneous abscesses, scabies, and hepatomegaly. There were prominent interstitial markings in the right upper lobe. The scabies were topically treated and the abscesses were drained and treated with antibiotics. Tuberculin tests were negative, examinations of the stool showed no

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