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PCP pneumonia (Pneumocystis jiroveci pneumonia)

Gould CFG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: PCP pneumonia (Pneumocystis jiroveci pneumonia)

History: 31y/o black female who is HIV positive, with slow onset of fatigue, low grade fever and dyspnea over the past several weeks.

Findings: Summary of Image Findings: CXR: Unremarkable chest radiograph obtained at admission. Frontal chest radiograph taken 48 hours after admission demonstrating ill-defined ground glass opacities within the bilateral suprahilar regions. There is also a retrocardiac opacity. Atypical or viral infectious process. A CT was recommended. The admission chest x-ray was unremarkable. Frontal chest radiograph taken at 72hrs demonstrates interval placement of endotracheal tube and right-sided central venous catheter. New right-sided subcutaneous air. Hypoinflation and mils increased interstitial markings of the lungs. Portable chest radiograph demonstrates interval development of moderate right-sided pneumothorax CT: Chest CT demonstrating diffuse patchy bilateral upper and lower lobe groundglass opacities. Differential considerations include PCP and CMV pneumonia as well as other opportunistic infection. This could represent hypersensitivity pneumonitis.

Ddx: Non-Cardiogenic Edema Cytomegalovirus Pneumonitis Diffuse Pulmonary Hemorrhage Syndromes Hypersensitivity Pneumonitis Pulmonary Alveolar Proteinosis

Dxhow: Positive pneumocystis DFA (sample obtained from bronchial wall)

Exam: Hypoxic, tachypneic, fatigued black female with diffuse crackles. CD4 count of 6.

No MeSH data available.


Unremarkable chest radiograph obtained at admission.
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MPX2332_synpic48212: Unremarkable chest radiograph obtained at admission.


PCP pneumonia (Pneumocystis jiroveci pneumonia)

Gould CFG - MedPix (2009)

Unremarkable chest radiograph obtained at admission.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2332&req=5

MPX2332_synpic48212: Unremarkable chest radiograph obtained at admission.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: PCP pneumonia (Pneumocystis jiroveci pneumonia)

History: 31y/o black female who is HIV positive, with slow onset of fatigue, low grade fever and dyspnea over the past several weeks.

Findings: Summary of Image Findings: CXR: Unremarkable chest radiograph obtained at admission. Frontal chest radiograph taken 48 hours after admission demonstrating ill-defined ground glass opacities within the bilateral suprahilar regions. There is also a retrocardiac opacity. Atypical or viral infectious process. A CT was recommended. The admission chest x-ray was unremarkable. Frontal chest radiograph taken at 72hrs demonstrates interval placement of endotracheal tube and right-sided central venous catheter. New right-sided subcutaneous air. Hypoinflation and mils increased interstitial markings of the lungs. Portable chest radiograph demonstrates interval development of moderate right-sided pneumothorax CT: Chest CT demonstrating diffuse patchy bilateral upper and lower lobe groundglass opacities. Differential considerations include PCP and CMV pneumonia as well as other opportunistic infection. This could represent hypersensitivity pneumonitis.

Ddx: Non-Cardiogenic Edema Cytomegalovirus Pneumonitis Diffuse Pulmonary Hemorrhage Syndromes Hypersensitivity Pneumonitis Pulmonary Alveolar Proteinosis

Dxhow: Positive pneumocystis DFA (sample obtained from bronchial wall)

Exam: Hypoxic, tachypneic, fatigued black female with diffuse crackles. CD4 count of 6.

No MeSH data available.