Relapse Pneumocystis carinii pneumonitis and adverse reaction to current therapy in patients with AIDS: trimetrexate as an alternative

Neth J Med. 1990 Aug;37(1-2):69-74.

Abstract

This is a case report of a 31-yr-old homosexual male with AIDS, admitted to our clinic with a relapse P. carinii pneumonitis (PCP) and a previous history of severe adverse reactions to currently used therapy. He was treated successfully with trimetrexate (TMTX), a dihydrofolate reductase inhibitor combined with leucovorin rescue. Adverse reactions, current therapy and prophylaxis of PCP in AIDS are discussed.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Adult
  • Folic Acid Antagonists / pharmacology
  • Folic Acid Antagonists / therapeutic use*
  • Humans
  • Male
  • Pneumonia, Pneumocystis / complications
  • Pneumonia, Pneumocystis / diagnostic imaging
  • Pneumonia, Pneumocystis / drug therapy*
  • Quinazolines / pharmacology
  • Quinazolines / therapeutic use*
  • Radiography
  • Recurrence
  • Trimetrexate

Substances

  • Folic Acid Antagonists
  • Quinazolines
  • Trimetrexate