Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-26T07:13:07.596Z Has data issue: false hasContentIssue false

An unusual case of Pneumocystis carinii presenting as an aural mass

Published online by Cambridge University Press:  29 June 2007

Suresh K. Patel*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
J. M. Philpott
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
D. W. McPartlin
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
*
Address for correspondence: Mr S. K. Patel, St Mary's Hospital, Praed Street, London W2 1NY. Fax: 0171 886 1847

Abstract

Extrapulmonary involvement of organs with the protozoan Pneumocystis carinii is rare. We describe a case of Pneumocystis carinii presenting as an erosive aural mass in a young male patient with acquired immunodeficiency syndrome. As far as the authors are aware such an example has never been described in a British journal and is the first case worldwide where otic pneumocystosis has extended into the middle cranial fossa. We also present a review of the literature on otological manifestations of Pneumocystis carinii.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Breda, S. D., Gigliotti, F., Hammerschlag, P. E., Schinella, R. (1988) Pneumocystis carinii in the temporal bone as a primary manifestation of the acquired immunodeficiency syndrome. Annals of Otology, Rhinology and Laryngology 97: 427431.CrossRefGoogle ScholarPubMed
Cohen, O. J., Stoeckle, M. Y. (1991) Extrapulmonary Pneumocystis carinii infections in the acquired immunodeficiency syndrome. Archives of Internal Medicine 151: 12051214.CrossRefGoogle ScholarPubMed
Coulman, C. U., Greene, I., Archibald, R. W. R. (1987) Cutaneous pneumocystosis. Annals of Internal Medicine 106: 396398.CrossRefGoogle ScholarPubMed
Gherman, C. R., Ward, R. R., Bassis, M. L. (1988) Pneumocystis carinii otitis media and mastoiditis as the initial manifestation of the acquired immunodeficiency syndrome. American Journal of Medicine 85: 250252.CrossRefGoogle ScholarPubMed
Ng, V. L., Yajko, D. M., Hadley, W. K. (1997) Extrapulmonary pneumocystosis. Clinical Microbiology Review 10: 401418.CrossRefGoogle ScholarPubMed
Park, S., Wunderlich, H., Goldenberg, R. A., Marshall, M. (1992) Pneumocystis carinii infection in the middle ear. Archives of Otolaryngology – Head and Neck Surgery 118: 269270.CrossRefGoogle ScholarPubMed
Schinella, R. A., Breda, S. D., Hammerschlag, P. E. (1987) Otic infection due to pneumocystis carinii in an apparently healthy man with antibody to the human immunodeficiency virus. Annals of Internal Medicine 106: 399400.CrossRefGoogle Scholar
Smith, M. A., Hirschfield, L. S., Zhatz, G., Siegal, F. P. (1988) Pneumocystis carinii otitis media. American Journal of Medicine 85: 745746.CrossRefGoogle ScholarPubMed
Wasserman, L., Haghighi, P. (1992) Otic and ophthalmic pneumocystosis in acquired immunodeficiency syndrome. Archives of Pathology and Laboratory Medicine 116: 500503.Google ScholarPubMed