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Brief CommunicationBrief Communication
Open Access

The prevalence of pneumothorax in human immunodeficiency virus patients. A single center study

Mohammed S. Ishaq and Esraa Y. Arabi
Saudi Medical Journal April 2024, 45 (4) 442-445; DOI: https://doi.org/10.15537/smj.2024.45.4.20230807
Mohammed S. Ishaq
From the Thoracic Surgery Department (Ishaq), King Saud Medical City, and from the General Surgery Department (Arabi), King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia.
MBBS, SFTS
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Esraa Y. Arabi
From the Thoracic Surgery Department (Ishaq), King Saud Medical City, and from the General Surgery Department (Arabi), King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia.
MBBS
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Article Figures & Data

Tables

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    Table 1

    - Risk factors for pneumothorax in human immunodeficiency virus patients.

    ParameterWith pneumothorax, n=11 n (%)Without pneumothorax, n=150 n (%)P-value
    Age (mean ± standard deviation)36.8 ± 13.9 years--
    Gender   
    Female3 (27.3%)47 (31.3%)1*
    Male8 (72.7%)103 (68.7%)
    Bacterial infection   
    Yes9 (81.8%)32 (21.3%)<0.001
    No2 (18.2%)118 (78.7%)
    Mycobacterium infection   
    Yes3 (27.3%)36(24%)0.728*
    No8(72.7%)114 (76%)
    Tuberculosis infection   
    Yes3 (27.3%)30 (20%)0.698*
    No8(72.7%)120(80%)
    Fungal infection   
    Yes6 (54.5%)27(18%)0.01*
    No5 (45.5%)123 (82%)
    pneumocystis jiroveci pneumonia   
    Yes02 (1.3%)1
    No11 (100%)148 (98.7%)
    Mechanical ventilation   
    Yes10 (90.9%)54 (36%)<.001
    No1 (9.1%)96 (64%)
    Outcome   
    Alive3(27.3%)104 (69.3%)0.007
    Dead8 (72.7%)46 (30.7%)
    • View popup
    Table 2

    - Pneumothorax in human immunodeficiency virus group.

    Parametersn (%)
    Type of pneumothorax 
    Simple6 (54.5%)
    Tension5 (45.5%)
    Treatment of pnx 
    ICT insertion9 (81.8%)
    Conservative2 (18.2%)
    Site of ICT 
    Right5 (45.5%)
    Left1 (9.1%)
    Bilateral3 (27.3%)
    Number of ICTs 
    Once5 (45.5%)
    Twice3 (27.3%)
    Three times1 (9.1%)
    Duration of chest tubes (mean±standard deviation)39.3 ± 30.7 days
    Recurrence of pneumothorax 
    Yes1 (9.1%)
    No3 (27.3%)
    Not applicable7 (63.6%)
    Complication 
    Thickened pleura with limited lung expansion2(18.2%)
    Broncho pleural fistula1(9.1%)
    None9 (81.8%)

    ICT: intercostal tube, PNX: pneumothorax

      • View popup
      Table 3

      - Prevalence of lung infections.

      Bacterial infectionsWith pneumothoraxWithout pneumothorax
      Gram positive  
      Staphylococcus species05
      Streptococcal species13
      Corynebacterium species01
      Gram negative  
      Enterobacter species12
      Klebsiella species59
      Pseudomonas species28
      Escherichia coli12
      Acinetobacter baumannii (MDRO)210
      Citrobacter freundii11
      Stenotrophomonas maltophilia01
      Burkholderia cepacia01
      Proteus mirabilis02
      Delftia acidovorans01
      Mycobacterial infection  
      Mycobacteria tuberculosis (TB)330
      Mycobacterial infection other than TB06
      Fungal infection  
      Aspergillus species15
      Candida species625
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    Saudi Medical Journal: 45 (4)
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    1 Apr 2024
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    The prevalence of pneumothorax in human immunodeficiency virus patients. A single center study
    Mohammed S. Ishaq, Esraa Y. Arabi
    Saudi Medical Journal Apr 2024, 45 (4) 442-445; DOI: 10.15537/smj.2024.45.4.20230807

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    The prevalence of pneumothorax in human immunodeficiency virus patients. A single center study
    Mohammed S. Ishaq, Esraa Y. Arabi
    Saudi Medical Journal Apr 2024, 45 (4) 442-445; DOI: 10.15537/smj.2024.45.4.20230807
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    Keywords

    • pneumothorax
    • human immunodeficiency virus
    • opportunistic lung infections

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