Pneumocystis pneumonia

Case contributed by Dr Hani Salam

Presentation

Recently diagnosed HIV presented with shortness of breath.

Patient Data

Age: 30 years
Gender: Male
X-ray

CXR - Day 0

CT

CT chest - Day 5

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.

X-ray

CXR - Day 6

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

X-ray

CXR - Day 11

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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