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Pneumocystis pneumonia - neonatal

Case contributed by Assoc Prof Craig Hacking

Presentation

Admitted for worsening respiratory distress and hypoxia.

Patient Data

Age: 3 months
Gender: Male
X-ray

NGT well positioned. Diffuse bilateral airspace opacification. Gaseous lucencies and a continuous diaphragm sign indicating pneumomediastinum, subcutaneous emphysema and bilateral pneumothorax.

Case Discussion

The patient was likely immunosuppressed due to congenital rubella infection. One month before this CXR, sputum culture confirmed Pneumocystis jiroveci infection. After this CXR, lung biopsy showed interstitial fibrosis and inflammation which can be seen both in rubella and Pneumocystis jiroveci infection.

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Case information

rID: 64904
Published: 4th Jan 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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