Apical Pneumocystis jiroveci as an AIDS defining illness: A case report illustrating a change in the paradigm.
Pneumocystis jiroveci pneumonia is a common acquired immune deficiency syndrome defining illness. Pneumocystis jiroveci pneumonia is classically described as having symmetrical bilateral perihilar ground-glass opacities on chest radiographs. We present an "atypical" case of Pneumocystis jiroveci pneumonia presenting as symmetric biapical cystic spaces with relative sparing of the remainder of the lungs in a 22 year-old male, previously undiagnosed with acquired immune deficiency syndrome. Our case illustrates that formerly unusual presentations of Pneumocystis jiroveci pneumonia are becoming more common as acquired immune deficiency syndrome defining illnesses as more patients are being imaged with further imaging such as high resolution computed tomography.
Department of Radiology, Yale New Haven hospital, New Haven, CT, USA.
Kyle
K
Pfeifer
Department of Radiology, Yale New Haven hospital, New Haven, CT, USA.
Vivek
V
Kalra
Department of Pathology, Yale New Haven hospital, New Haven, CT, USA.
Adeniran
A
Adebowale
Department of Infectious Disease, Yale New Haven hospital, New Haven, CT, USA.
Manisha
M
Juthani-Mehta
Department of Radiology, Yale New Haven hospital, New Haven, CT, USA.
Myung
M
Soo-Shin
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000935:Antifungal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D045363:Pneumocystis carinii / Q000302:isolation & purification*; D011020:Pneumonia, Pneumocystis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology*; D013902:Radiography, Thoracic / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult
D000935:Antifungal Agents
AIDS; Acquired immune deficiency syndrome; Infection; PCP; PJP; Pneumocystis carinii; Pneumocystis jiroveci; pneumonia