Abstract
Authors report a case of P. carinii pneumonia in a child with 5% CD4 lymphocytes (absolute number 5/microliters) after autologous bone marrow transplantation followed by pulmonary irradiation. Serial evaluation of CD4 lymphocyte count or percentage or, at least, detection of significant and persistent lymphopenia could be useful for detecting a high risk of developing P. carinii pneumonia.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bone Marrow Transplantation / immunology*
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CD4 Lymphocyte Count*
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Child, Preschool
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Combined Modality Therapy
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Disease Susceptibility
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Fatal Outcome
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Female
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Humans
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Immunocompromised Host*
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Lung Neoplasms / drug therapy
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Lung Neoplasms / radiotherapy
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Lung Neoplasms / secondary
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Neuroectodermal Tumors, Primitive, Peripheral / drug therapy
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Neuroectodermal Tumors, Primitive, Peripheral / radiotherapy
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Neuroectodermal Tumors, Primitive, Peripheral / secondary
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Neuroectodermal Tumors, Primitive, Peripheral / therapy
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Pneumonia, Pneumocystis / immunology*
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Pulmonary Fibrosis / etiology
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Radiotherapy / adverse effects*
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Retroperitoneal Neoplasms / drug therapy
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Retroperitoneal Neoplasms / therapy