Unusual Radiographic Presentation of Pneumocystis Pneumonia in a Patient with AIDS
Joint Authors
Block, Brian L.
Mehta, Tejas
Ortiz, Gabriel M.
Ferris, Sean P.
Vu, Thienkhai H.
Huang, Laurence
Cattamanchi, Adithya
Source
Case Reports in Infectious Diseases
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-07
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Pneumocystis jirovecii pneumonia (PCP) typically presents as an interstitial and alveolar process with ground glass opacities on chest computed tomography (CT).
The absence of ground glass opacities on chest CT is thought to have a high negative predictive value for PCP in individuals with AIDS.
Here, we report a case of PCP in a man with AIDS who presented to our hospital with subacute shortness of breath and a nonproductive cough.
While his chest CT revealed diffuse nodular rather than ground glass opacities, bronchoscopy with bronchoalveolar lavage and transbronchial biopsies confirmed the diagnosis of PCP and did not identify additional pathogens.
PCP was not the expected diagnosis based on chest CT, but it otherwise fit well with the patient’s clinical and laboratory presentation.
In the era of combination antiretroviral therapy, routine prophylaxis for PCP, and increased use of computed tomography, it may be that PCP will increasingly present with nonclassical chest radiographic patterns.
Clinicians should be aware of this presentation when selecting diagnostic and management strategies.
American Psychological Association (APA)
Block, Brian L.& Mehta, Tejas& Ortiz, Gabriel M.& Ferris, Sean P.& Vu, Thienkhai H.& Huang, Laurence…[et al.]. 2017. Unusual Radiographic Presentation of Pneumocystis Pneumonia in a Patient with AIDS. Case Reports in Infectious Diseases،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1146264
Modern Language Association (MLA)
Block, Brian L.…[et al.]. Unusual Radiographic Presentation of Pneumocystis Pneumonia in a Patient with AIDS. Case Reports in Infectious Diseases No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1146264
American Medical Association (AMA)
Block, Brian L.& Mehta, Tejas& Ortiz, Gabriel M.& Ferris, Sean P.& Vu, Thienkhai H.& Huang, Laurence…[et al.]. Unusual Radiographic Presentation of Pneumocystis Pneumonia in a Patient with AIDS. Case Reports in Infectious Diseases. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1146264
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146264