Three opportunistic infections associated with ectopic corticotropin syndrome

Arch Intern Med. 1989 Nov;149(11):2589-91.

Abstract

Cytomegalovirus pneumonia, Pneumocystis carinii pneumonia, and pulmonary and disseminated aspergillosis occurred simultaneously in a 66-year-old white man with oat cell carcinoma and ectopic corticotropin production. Hypokalemia, a recent normal chest roentgenogram, and a large left adrenal mass on a computed tomographic scan confused the initial clinical evaluation. The aspergillosis proved fulminant and lethal.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / secondary
  • Adrenocorticotropic Hormone / metabolism*
  • Aged
  • Aspergillosis / complications
  • Aspergillosis / pathology
  • Carcinoma, Small Cell / complications*
  • Carcinoma, Small Cell / pathology
  • Carcinoma, Small Cell / secondary
  • Cytomegalovirus Infections / complications
  • Cytomegalovirus Infections / pathology
  • Hormones, Ectopic / metabolism*
  • Humans
  • Lung / pathology
  • Lung Neoplasms / complications*
  • Lung Neoplasms / pathology
  • Male
  • Opportunistic Infections / complications*
  • Pneumonia / complications
  • Pneumonia / pathology
  • Pneumonia, Pneumocystis / complications
  • Pneumonia, Pneumocystis / pathology

Substances

  • Hormones, Ectopic
  • Adrenocorticotropic Hormone