Presentation

Immunosuppressed patient that two months before hospital admission started to feel malaise, shortness of breath, cough and diarrhea. His respiratory status worsened in the last 48 hours. In the ambulance, the patient was hypotensive, tachycardic and with low blood oxygen saturation levels. His body temperature was 41ºC. Upon arrival at hospital, the patient was stabilized and carried directly to critical care unit. A diagnosis of Pneumocystis pneumonia was established. Trimethoprim/sulfamethoxazole was used with concomitant methylprednisolone as treatment. On the third day of hospitalization, the patient suffered an acute respiratory deterioration and hemodynamic instability that required mechanical ventilation.

Patient Data

Age: 35 years
Gender: Male
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