Presentation
Low grade fever for 3 months, short of breath for 20 days
Patient Data
Age: 45 years
Gender: Male
From the case:
Pneumocystis jirovecii pneumonia in HIV patients
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Widespread patchy ground glass opacity.
Upper zone predominant areas of reticular opacity and cysts.
No effusions.
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Partial clearing of the lungs. Residual areas of ground-glass opacity, cysts and fibrosis.
Case Discussion
The patient was diagnosed with HIV after admission, and the CD4+ T-cell count was only 16/µl. CT was repeated after 3 months treatment with anti-HIV and sulphonamides.
Pneumocystis jirovecii pneumonia is a almost exclusively seen in immunocompromised individuals and in this clinical context these CT appearances point to this diagnosis.
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