Presentation
A known HIV patient was admitted with progressive exertional dyspnea, weight loss, fever on and off, and high inflammatory markers.
Patient Data
Both upper and lower lung lobes have ground glass opacities, an early crazy paving appearance, and mild inter-lobular thickening. There were no pleural or pericardial effusions.
In correlation to the history of the patient, PCP (pneumocystis pneumonia) is the most likely diagnosis.
Following the CT, bronchoalveolar lavage and microscopy were carried out, which verified Pneumocystis pneumonia.
Case Discussion
Pneumocystis pneumonia is the most prevalent opportunistic infection among AIDS patients.
Non-AIDS patients often have significant immunosuppression for other reasons, such as hematological malignancies or bone marrow transplants.
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