Pneumocystis jiroveci pneumonia

Case contributed by Dr David Cuete

Presentation

AIDS stage of HIV infection. syphilis treatment

Patient Data

Age: 25
Gender: Male
X-ray

Frontal chest radiograph demonstrate bilateral perihilar airspace opacity. No pneumothorax is evident. In the clinical context of AIDS this is highly suggestive of pneumocystis carinii pneumonia (PCP) opportunistic infection.

CT chest shows diffuse bilateral ground glass opacities with a perihilar and basilar distribution. There are also small areas of focal consolidation in the lower lobes. No pulmonary cysts or pneumothorax are evident. No signs of pleural effusion. No hilar or mediastinal lymph nodes were observed, only lymph nodes in the normal range. Heart and great vessels of the thorax within normal limits. Visible segments of liver, spleen and adrenal glands without lesions

Case Discussion

This case shows typical alterations of PCP proven infection.

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Case information

rID: 33593
Case created: 18th Jan 2015
Last edited: 23rd Nov 2015
System: Chest
Inclusion in quiz mode: Included

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