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Pneumocystis jiroveci (P. carinii) Pneumonia

Shogan PJS - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumocystis jiroveci (P. carinii) Pneumonia

History: 39 year old male who is HIV positive, with a CD4 count of 71 cells/mm3, and complaint of dyspnea on exertion.

Findings: Chest Radiography: Biapical air space opacities are noted with stranding toward the hila. No pleural effusions or adenopathy is evident. Contrast Enhanced CT: Both patchy and confluent air space opacities are evident in a central bilateral upper lobe distribution, with sparing of the lower lung zones. No significant adenopathy is noted.

Ddx: M. tuberculosis Bacterial Pneumonia Pneumocystis jiroveci (carinii) M. avium-intracellulare Fungal organisms

Dxhow: BAL was positive for pneumocystis jiroveci.

Exam: WBC: 5.2 K/UL LDH: 541 (100-225) U/L

No MeSH data available.


Lateral chest radiograph demonstrates biapical air space opacities without evidence of pleural effusions.
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MPX1538_synpic41608: Lateral chest radiograph demonstrates biapical air space opacities without evidence of pleural effusions.


Pneumocystis jiroveci (P. carinii) Pneumonia

Shogan PJS - MedPix (2008)

Lateral chest radiograph demonstrates biapical air space opacities without evidence of pleural effusions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1538&req=5

MPX1538_synpic41608: Lateral chest radiograph demonstrates biapical air space opacities without evidence of pleural effusions.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumocystis jiroveci (P. carinii) Pneumonia

History: 39 year old male who is HIV positive, with a CD4 count of 71 cells/mm3, and complaint of dyspnea on exertion.

Findings: Chest Radiography: Biapical air space opacities are noted with stranding toward the hila. No pleural effusions or adenopathy is evident. Contrast Enhanced CT: Both patchy and confluent air space opacities are evident in a central bilateral upper lobe distribution, with sparing of the lower lung zones. No significant adenopathy is noted.

Ddx: M. tuberculosis Bacterial Pneumonia Pneumocystis jiroveci (carinii) M. avium-intracellulare Fungal organisms

Dxhow: BAL was positive for pneumocystis jiroveci.

Exam: WBC: 5.2 K/UL LDH: 541 (100-225) U/L

No MeSH data available.