Presentation
HIV+ with acute shortness of breath and low CD4 count.
Patient Data
Age: 25 years.
Gender: Male
From the case:
Pulmonary Pneumocystis jiroveci pneumonia
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/119254/annotated_viewer_json?iframe=true\u0026lang=us"}
Multiple bilateral lung cysts and consolidation, no pleural effusion, normal cardiac silhouette.
From the case:
Pulmonary Pneumocystis jiroveci pneumonia
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/119255/annotated_viewer_json?iframe=true\u0026lang=us"}
Multiple bilateral lung cysts, ground-glass opacity, and consolidation. No pleural effusion or lymphadenopathy.
Case Discussion
The combination of multiple lung cysts and ground-glass opacity in an HIV+ patient with acute shortness of breath and a CD4 count <200 cells/mm is highly suggestive of PJP pneumonia.