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Chest clinic
Images in Thorax
Rapid-growth pneumatocele mimics massive pneumothorax in a HIV-positive patient
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  1. Min-Shiau Hsieh1,2,
  2. Chun-Ku Chen3,
  3. Wing-Wai Wong4,5,
  4. Chien-Sheng Huang1,6
  1. 1Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan
  2. 2Department of Surgery, National Yang-Ming University Hospital, Yilan, Taiwan
  3. 3Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
  4. 4AIDS Prevention and Research Center, National Yang-Ming University, Taipei, Taiwan
  5. 5Division of Infectious Diseases, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
  6. 6National Yang-Ming University School of Medicine, Taipei, Taiwan
  1. Correspondence to Dr Chien-Sheng Huang, Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, No 201 Section 2 Shih-Pai Road, Taipei 112, Taiwan; huangcs{at}vghtpe.gov.tw

https://doi.org/10.1136/thoraxjnl-2012-201990

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    Learning points

    • A fast-growing giant pneumatocele can develop in the HIV-positive patient with suspected PCP infection complicated with pneumothorax and compromised pulmonary reserve. CT scans might be helpful for differential diagnosis.

    • Surgical intervention by video-assisted thoracoscopic surgery for unroofing the pneumatocele and pleurodesis might be an effective treatment to …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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