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Pneumocystis jirovecii Pneumonia in a HIV-Infected Patient with a CD4 Count Greater Than 400 CellsμL and Atovaquone Prophylaxis
Joint Authors
Sullivan, Abigayle
Lanham, Theresa
Krol, Ronald
Zachariah, Shilla
Source
Case Reports in Infectious Diseases
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We describe a rare case of Pneumocystis jirovecii pneumonia (PCP) in a heterosexual man with a pertinent medical history of well-controlled human immunodeficiency virus (HIV) on highly active antiretroviral therapy (HAART) and PCP prophylaxis with atovaquone.
The patient presented with recurrent shortness of breath, worsening malaise, and fever, following treatment for hypersensitivity pneumonitis one month prior, including a twenty-four-day course of 40 milligrams daily glucocorticoid with taper.
However, transbronchial biopsies, lavage, and cytology from prior admission were inconclusive.
The patient refused video-assisted thoracic surgery (VATS) at that time.
Upon readmission, bronchoscopy with right VATS and lung biopsy were performed.
Grocott’s methenamine silver stain of right lung biopsy was positive for Pneumocystis jirovecii.
This case is a rare example of PCP in a patient with a normal CD4 count (>487 cells/μL) and a low viral load (<20 copies/mL) despite PCP prophylactic antibiotics in the setting of recent iatrogenic immunosuppression.
American Psychological Association (APA)
Sullivan, Abigayle& Lanham, Theresa& Krol, Ronald& Zachariah, Shilla. 2020. Pneumocystis jirovecii Pneumonia in a HIV-Infected Patient with a CD4 Count Greater Than 400 CellsμL and Atovaquone Prophylaxis. Case Reports in Infectious Diseases،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148240
Modern Language Association (MLA)
Sullivan, Abigayle…[et al.]. Pneumocystis jirovecii Pneumonia in a HIV-Infected Patient with a CD4 Count Greater Than 400 CellsμL and Atovaquone Prophylaxis. Case Reports in Infectious Diseases No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148240
American Medical Association (AMA)
Sullivan, Abigayle& Lanham, Theresa& Krol, Ronald& Zachariah, Shilla. Pneumocystis jirovecii Pneumonia in a HIV-Infected Patient with a CD4 Count Greater Than 400 CellsμL and Atovaquone Prophylaxis. Case Reports in Infectious Diseases. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148240
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148240