Pneumocystis pneumonia

Case contributed by Dr Hani Salam

Presentation

Recently diagnosed HIV presented with shortness of breath.

Patient Data

Age: 30 years
Gender: Male

CXR - Day 0

Modality: X-ray

CT chest - Day 5

Modality: CT

CT obtained 5 days later demonstrates widepread ground glass attenuation, with a predeliction for the dependent portions of the lungs. Small bilateral pleural effusions are present. 

The diagnosis of pneumocystis jirovecii pneumonia was confirmed with bronchoalveolar lavage.

CXR - Day 6

Modality: X-ray

CXR the next day demonstrates further worsening of the parenchymal attenuation. 

CXR - Day 11

Modality: X-ray

The patient continued to deteriorate and necessitated intubation. Consolidation is progressive. 

Case Discussion

With treatment this patient is likely to recover. PCP once very common in HIV positive patients, is far less frequently encountered as both HAART and prophylaxis are effective. 

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Case Information

rID: 10625
Case created: 27th Aug 2010
Last edited: 12th Mar 2016
System: Chest
Inclusion in quiz mode: Included

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