title: Granulomatous Pneumocystis jiroveci pneumonia associated with immune reconstituted HIV.
abstract: Pneumocystis jiroveci pneumonia uncommonly presents with pulmonary nodules and granulomatous inflammation. An unusual case of granulomatous P jiroveci pneumonia in an HIV patient with a CD4(+) lymphocyte count of greater than 200 cells⁄mm(3), occurring in the context of immune reconstitution with highly active antiretroviral therapy, is described. The case highlights the importance of establishing this diagnosis to institute appropriate therapy.
authors.affiliation: Department of Medicine, University of Calgary, Alberta, Canada.
authors.forename: Natasha
authors.initials: N
authors.lastname: Sabur
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Kelly
authors.forename: M John
authors.initials: MJ
authors.lastname: Gill
authors.forename: Martha D
authors.initials: MD
authors.lastname: Ainslie
authors.forename: Sachin R
authors.initials: SR
authors.lastname: Pendharkar
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D015769:Granuloma, Respiratory Tract / Q000150:complications / Q000175:diagnosis*; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000150:complications / Q000175:diagnosis*; D008297:Male; D045363:Pneumocystis carinii / Q000302:isolation & purification*; D011020:Pneumonia, Pneumocystis / Q000150:complications / Q000175:diagnosis*