Combined Pneumocystis carinii and Nocardia asteroides pneumonia occurred in a patient with an adrenocorticotropin (ACTH)-producing carcinoid after effective chemotherapy decreased elevated ectopic ACTH and endogenous corticosteroid levels. Implications regarding the pathogenesis of such infections in patients with paraneoplastic tumors are discussed.
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Natale et al. (1981) studied this question.
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