A Case of Multiple Pulmonary Nodular Pneumocystis jirovecii Pneumonia in an Acquired Immune Deficiency Syndrome Patient.
- Author:
Eun Jung KIM
1
;
Seung Jin YOO
;
Gyung Hoon KANG
;
Man Yong HONG
;
Jong Sam HONG
;
Dae Shick RYU
;
Dae Woon EOM
;
Bock Hyun JUNG
;
Eun Hee SONG
Author Information
- Publication Type:Case Report
- Keywords: Multiple pulmonary nodules; Pneumocystis jirovecii pneumonia; Acquired Immune Deficiency Syndrome
- MeSH: Acquired Immunodeficiency Syndrome; Adult; Biopsy; Diagnosis, Differential; Glass; Humans; Lung; Lung Diseases; Lymphoma; Multiple Pulmonary Nodules; Pleural Effusion; Pneumocystis; Pneumocystis jirovecii; Pneumonia; Pneumothorax; Sarcoma, Kaposi; Thorax
- From:Infection and Chemotherapy 2012;44(1):40-43
- CountryRepublic of Korea
- Language:Korean
- Abstract: Pneumocystis jirovecii pneumonia (PCP) is a frequent manifestation of Acquired Immune Deficiency Syndrome (AIDS). The classic chest radiographic finding is perihilar ground glass opacities that may progress to more diffuse lung involvement. Atypical radiographic appearances include a normal chest film, lobar or segmental consolidation, cystic lesions, cavitation, pneumothorax, pleural effusion, and solitary or multiple pulmonary nodules. Although PCP is common in AIDS, presenting with nodular pulmonary densities is rare. We encountered the case of a 33-year-old man with AIDS whose chest radiography showed multiple bilateral nodular patterns suggestive of malignancy. We performed a transcutaneous lung biopsy and diagnosed him with PCP by Gomori methenamine-silver staining. Along with fungal and mycobacterial infections, intrathoracic Kaposi's sarcoma, and lymphoma, PCP should be considered in the differential diagnosis of nodular pulmonary disease in AIDS patients.
