Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection

We report a case of pneumocystis pneumonia (PCP) that mimicked atypical pneumonia in a patient with human immunodeficiency virus (HIV) infection. A 44-year-old Japanese man with persistent fever and dyspnea for a month was diagnosed with atypical pneumonia because of bilateral ground-glass opacities...

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Autores principales: Hashimoto, Takehiro, Ando, Masaru, Nureki, Shinichi, Komiya, Kosaku, Hiramatsu, Kazufumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508861/
https://www.ncbi.nlm.nih.gov/pubmed/36171822
http://dx.doi.org/10.7759/cureus.28388
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author Hashimoto, Takehiro
Ando, Masaru
Nureki, Shinichi
Komiya, Kosaku
Hiramatsu, Kazufumi
author_facet Hashimoto, Takehiro
Ando, Masaru
Nureki, Shinichi
Komiya, Kosaku
Hiramatsu, Kazufumi
author_sort Hashimoto, Takehiro
collection PubMed
description We report a case of pneumocystis pneumonia (PCP) that mimicked atypical pneumonia in a patient with human immunodeficiency virus (HIV) infection. A 44-year-old Japanese man with persistent fever and dyspnea for a month was diagnosed with atypical pneumonia because of bilateral ground-glass opacities on chest computed tomography (CT). Ground-glass opacities on chest CT diminished with three days treatment of azithromycin; however, his symptoms were persistent. Final diagnosis of HIV and PCP infection was eventually confirmed. Physicians should consider the possibility of PCP even when pulmonary manifestations resolve with azithromycin in patients with HIV infection.
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spelling pubmed-95088612022-09-27 Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection Hashimoto, Takehiro Ando, Masaru Nureki, Shinichi Komiya, Kosaku Hiramatsu, Kazufumi Cureus Internal Medicine We report a case of pneumocystis pneumonia (PCP) that mimicked atypical pneumonia in a patient with human immunodeficiency virus (HIV) infection. A 44-year-old Japanese man with persistent fever and dyspnea for a month was diagnosed with atypical pneumonia because of bilateral ground-glass opacities on chest computed tomography (CT). Ground-glass opacities on chest CT diminished with three days treatment of azithromycin; however, his symptoms were persistent. Final diagnosis of HIV and PCP infection was eventually confirmed. Physicians should consider the possibility of PCP even when pulmonary manifestations resolve with azithromycin in patients with HIV infection. Cureus 2022-08-25 /pmc/articles/PMC9508861/ /pubmed/36171822 http://dx.doi.org/10.7759/cureus.28388 Text en Copyright © 2022, Hashimoto et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Hashimoto, Takehiro
Ando, Masaru
Nureki, Shinichi
Komiya, Kosaku
Hiramatsu, Kazufumi
Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection
title Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection
title_full Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection
title_fullStr Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection
title_full_unstemmed Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection
title_short Pneumocystis Pneumonia Mimicking Atypical Pneumonia in a Patient With Human Immunodeficiency Virus Infection
title_sort pneumocystis pneumonia mimicking atypical pneumonia in a patient with human immunodeficiency virus infection
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508861/
https://www.ncbi.nlm.nih.gov/pubmed/36171822
http://dx.doi.org/10.7759/cureus.28388
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