Pneumocystis jiroveci pneumonia

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

An adult female with positive HIV infection & low CD4 count. It had onset of shortness or breath and cough.

Patient Data

Age: 40 years
Gender: Female
X-ray

The visualized lung fields show hazy opacification with peribronchial and some interstitial prominence in the form of fine reticular interstitial pulmonary pattern. The case showed progressive deterioration as shown from the demonstrated XR sequences. The last one shows more diffuse infiltrates with ET tube insertion in ventilated victim.

Diffuse bilateral reticular opacities or septal thickening are present. A crazy paving pattern may therefore be seen when both ground-glass opacies and septal thickening are superimposed on one another.

Case Discussion

The patient is proved to be pneumocystis jiroveci pneumonia in HIV positive patient. The case in the next few days exhibited more deterioration in her general condition, so admitted to ICU and ventilatd but unfortunately lastly passed away.

Pneumocystis jirovecii pneumonia is atypical pulmonary infection, that considered the most common opportunistic infection in patients with acquired immunodeficiency syndrome (AIDS).

Classically, PCP was the acronym for pneumocystis carinii pneumonia but, was reclassified as pneumocystis jirovecii. Pneumocystis carinii refers to a species was found in rats, but pneumocystis jirovecii refers to the human isolate.  

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Case information

rID: 29434
Case created: 24th May 2014
Last edited: 14th Mar 2016
System: Chest
Inclusion in quiz mode: Included

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