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Steven C. Sieber, MD; Ronald Dandurand, MD; Nelson Gelfman, MD; Paul Iannini, MD; Frank Braza, MD

Arch Intern Med. 1989;149(11):2589-2591.

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.

(Arch Intern Med. 1989;149:2589-2591)

Author Affiliations
From the Departments of Laboratory Medicine (Drs Sieber, Gelfman, and Braza) and Medicine (Drs Dandurand and Iannini), Danbury (Conn) Hospital.

Footnotes
Accepted for publication May 19, 1989.

Reprint requests to the Department of Laboratory Medicine, Danbury Hospital, Danbury, CT 06810 (Dr Sieber).

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