Pulmonary Pneumocystis jiroveci pneumonia

Case contributed by Stefan Tigges
Diagnosis certain

Presentation

HIV+ with acute shortness of breath and low CD4 count.

Patient Data

Age: 25 years.
Gender: Male

Multiple bilateral lung cysts and consolidation, no pleural effusion, normal cardiac silhouette.

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.

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