&lt;i&gt;Pneumocystis carinii&lt;/i&gt; Thyroiditis Diagnosis by Fine Needle Aspiration Cytology

Keyhani‐Rofagha, Sedigheh; Piquero, Clara

doi:10.1159/000333757

Cited by 16 publications

(8 citation statements)

References 15 publications

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“…Other disease entities arising within salivary glands in HIV-positive patients are low-risk lymphoma arising in BLEC, intraparotid lymphadenopathy, diffuse infiltrative lymphocytosis syndrome, and sialadenitis secondary to unusual infections, such as cytomegalovirus [107, 108] and cryptococcus [109]. Even the thyroid gland in HIV patients can rarely be involved by CMV infection [110] and pneumocystis [111]. …”

Section: Head and Neck Pathologymentioning

confidence: 99%

Review of HIV-Related Cytopathology

Lang

Khalbuss

Michelow

et al. 2011

Pathology Research International

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Exfoliative and aspiration cytologies play a major role in the management of patients with human immunodeficiency virus infection. Common cytology samples include cervicovaginal and anal Papanicolaou tests, fine needle aspirations, respiratory specimens, body fluids, Tzanck preparations, and touch preparations from brain specimens. While the cytopathologists need to be aware of specific infections and neoplasms likely to be encountered in this setting, they should be aware of the current shift in the pattern of human immunodeficiency virus-related diseases, as human immunodeficiency virus patients are living longer with highly active antiretroviral therapy and suffering fewer opportunistic infections with better antimicrobial prophylaxis. There is a rise in nonhuman immunodeficiency virus-defining cancers (e.g., anal cancer, Hodgkin's lymphoma) and entities (e.g., gynecomastia) from drug-related side effects. Given that fine needle aspiration is a valuable, noninvasive, and cost-effective tool, it is frequently employed in the evaluation and diagnosis of human immunodeficiency virus-related diseases. Anal Papanicolaou tests are also increasing as a result of enhanced screening of human immunodeficiency virus-positive patients for cancer. This paper covers the broad spectrum of disease entities likely to be encountered with human immunodeficiency virus-related cytopathology.

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Section: Head and Neck Pathologymentioning

confidence: 99%

Review of HIV-Related Cytopathology

Lang

Khalbuss

Michelow

et al. 2011

Pathology Research International

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“…Extrapulmonary pneumocystosis is rare, and has been reported in lymph nodes, bone marrow, stomach, spleen, liver, small intestine, skin, pancreas, thyroid, choroid, and eye. [4][5][6][7][8][9] To this author's knowledge, PC as a common bile duct mass lesion has not been reported. The objective of this paper is to alert readers that, when observing exuberant vascular proliferation with multinucleated giant-cell reaction associated with necrosis in fine-needle aspiration biopsy, PC infection should come into the differential diagnosis, even in uncommon sites and in patients unsuspected of HIV infection; the appropriate stains should be performed.…”

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confidence: 99%

Pneumocystis carinii infection presents as common bile duct mass biopsied by fine‐needle aspiration

Yang

2000

Diagn. Cytopathol.

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“…Lymphocyte CD4 count was available only in three patients and it was 100 cells μ l −1 or less in two, 17,22 and 200 cells μ l −1 in one 18 . Although all the patients were not receiving HAART, four patients were taking zidovudine monotherapy, 14,16–18 one discontinued such treatment 2 months earlier, 15 one was receiving only didanosine 24 and one patient was receiving zidovudine plus didanosine 25 …”

Section: Resultsmentioning

confidence: 99%

Pneumocystis jiroveci thyroiditis: report of 15 cases in the literature

Zavascki

Maia

Goldani

2007

Mycoses

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The authors review the epidemiology, clinical manifestations, diagnosis and treatment of Pneumocystis jiroveci thyroiditis of 15 cases reported in the medical literature. Patients with acquired immunodeficiency disease syndrome were particularly at risk. P. jiroveci thyroiditis was diagnosed at autopsy as a part of disseminated infection in a substantial number of patients without clinical manifestations and laboratory evidence of thyroid dysfunction. Local signs and symptoms of infection were indistinguishable from other infectious thyroiditis and included neck enlargement with or without cervical pain, sometimes associated with dysphagia and dysphonia, and clinical and laboratory features of hypothyroidism. Antemortem diagnosis of fungal thyroiditis was made by direct microscopy and culture of a fine-needle aspirate in most cases. As most patients with P. jiroveci thyroiditis had disseminated Pneumocystis infection with a delay in diagnosis and treatment, the overall mortality was high. Pneumocystis jiroveci thyroiditis is rare but should be suspected in HIV-infected patients with CD4 count lower than 200 cells micro(-1) on prophylatic inhalatory pentamidine who present with neck enlargement with or without pain, and clinical and laboratory evidence of hypothyroidism.

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<i>Pneumocystis carinii</i> Thyroiditis Diagnosis by Fine Needle Aspiration Cytology

Cited by 16 publications

References 15 publications

Review of HIV-Related Cytopathology

Review of HIV-Related Cytopathology

Pneumocystis carinii infection presents as common bile duct mass biopsied by fine‐needle aspiration

Pneumocystis jiroveci thyroiditis: report of 15 cases in the literature

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