REPLY
Identifying Pneumocystis carinii in Pleural Effusions
Jose Joseph;
Charlie Strange; and
Steven A. Sahn
15 December 1993 | Volume 119 Issue 12 | Page 1222
IN RESPONSE:
The patient described by Dr. Ruskin should be viewed in the perspective of other extrapulmonary foci of Pneumocystis carinii that have included pleural-based masses, pleural effusions, and ascites [1]. Although P. carinii and Toxoplasma gondii [2] have been seen on routine cytopathologic analysis of pleural fluid, no diagnosis in our series was made cytopathologically.
1. Abati AD, Opitz L, Brones C, Burstein DE, Gallo L. Cytology of extrapulmonary Pneumocystis carinii infection in the acquired immunodeficiency syndrome. Acta Cytol. 1992; 36:440-4.
2. Schnapp LM, Geaghan SM, Campagna A, Fahy J, Steiger D, Ng V, et al.Toxoplasma gondii pneumonitis in patients infected with the human immunodeficiency virus. Arch Intern Med. 1992; 152:1073-7.
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