Journal of Radiology Case Reports, Vol 8, No 11 (2014)

Font Size:  Small  Medium  Large
Apical Pneumocystis jiroveci as an AIDS defining illness: A case report illustrating a change in the paradigm

Apical Pneumocystis jiroveci as an AIDS defining illness: A case report illustrating a change in the paradigm

Kyle Pfeifer, Vivek Kalra, Adeniran Adebowale, Manisha Juthani-Mehta, Myung Soo-Shin

Bookmark and Share
         

Abstract


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.

Full Text: PDF Full Text Interactive Full Text