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Disease Presentation

"Pneumocystis carinii Pneumonia Masquerading as Tuberculosis."

Published in TB and Outbreaks Week, March 31st, 1997

According to the authors' abstract of an article published in Archives of Internal Medicine, "Recent laboratory studies indicate that genetic diversity exists in human strains of Pneumocystis carinii. Structural and functional variability in infecting strains could result in differences in host-parasite interactions and the natural history of P. carinii pneumonia. We report 5 unusual cases in which the clinical presentation mimicked tuberculosis. All patients were cared for at a university-based public hospital clinic in Los Angeles, Calif, during a 2-year period. These patients were chronically ill, had lost weight, and each had cavities or cystic spaces as the primary...

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