Single Nodular Opacity of Granulomatous Pneumocystis Jirovecii Pneumonia in an Asymptomatic Lymphoma Patient.
10.3348/kjr.2015.16.2.440
- Author:
Hyun Soo KIM
1
;
Kyung Eun SHIN
;
Ju Hie LEE
Author Information
1. Department of Diagnostic Radiology, Kyung Hee University Hospital, Seoul 130-702, Korea. sweetperi@naver.com
- Publication Type:Case Reports
- Keywords:
Granulomatous Pneumocystis jirovecii pneumonia;
Nodular opacity;
Lymphoma
- MeSH:
Aged;
Antibodies, Monoclonal, Murine-Derived/adverse effects/therapeutic use;
Antineoplastic Agents/adverse effects/therapeutic use;
Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use;
Biopsy/methods;
Cyclophosphamide/adverse effects/therapeutic use;
Doxorubicin/adverse effects/therapeutic use;
Female;
Humans;
Lymphoma, Large B-Cell, Diffuse/drug therapy/microbiology;
Pneumocystis jirovecii/pathogenicity;
Pneumonia, Pneumocystis/*diagnosis/*radiography;
Positron-Emission Tomography;
Prednisone/adverse effects/therapeutic use;
Solitary Pulmonary Nodule/*microbiology;
Thoracic Surgery, Video-Assisted;
Tomography, X-Ray Computed;
Vincristine/adverse effects/therapeutic use
- From:Korean Journal of Radiology
2015;16(2):440-443
- CountryRepublic of Korea
- Language:English
-
Abstract:
The radiologic findings of a single nodule from Pneumocystis jirovecii pneumonia (PJP) have been rarely reported. We described a case of granulomatous PJP manifesting as a solitary pulmonary nodule with a halo sign in a 69-year-old woman with diffuse large B cell lymphoma during chemotherapy. The radiologic appearance of the patient suggested an infectious lesion such as angioinvasive pulmonary aspergillosis or lymphoma involvement of the lung; however, clinical manifestations were not compatible with the diseases. The nodule was confirmed as granulomatous PJP by video-assisted thoracoscopic surgery biopsy.
