Case report : a probable pnemocystis jirovecii pneumonia in a sexually active homosexual male /
Abello-Salvador, Lorielyn, MD.
Case report : a probable pnemocystis jirovecii pneumonia in a sexually active homosexual male / Lorielyn Abello-Salvador. - Fairview, Quezon City Department of Medicine, FEU-NRMF, 2012 - illustration and photos (colored); (in folder)
Includes appendices and bibliographical references.
ABSTRACT: Pneumocystis jirovecii pneumonia remains the most prevalent opportunistic infection in patients infected with Human Immunodeficiency Virus (HIV). Pneumocystis pneumonia is often the AIDS-defining illness in patients infected with HIV, occurring most frequently when the T-helper cell count (CD4+) is less than 200 cells per cubic millimeter. Common symptoms of pneumocystis pneumonia include the subtle onset of progressive dyspnea, nonproductive cough, and low-grade fever. A 27 year old male, presented with the same symptoms. Later on the course of admission, he was positive for HIV infection. The challenge to the health care provider is knowing when to suspect that the pulmonary condition is related to an underlying HIV infection. Based on high index of clinical suspicion, he was diagnosed and managed with probable Pneumocystis jirovecii pneumonia. Patient had a dramatic response to Trimetophrim-Sulfamethoxazole with adjunctive corticosteroid therapy. Even without the CD4 cell count, the management of this type of pneumonia should not be delayed.
Research - Department of Medicine
MED20120002
Case report : a probable pnemocystis jirovecii pneumonia in a sexually active homosexual male / Lorielyn Abello-Salvador. - Fairview, Quezon City Department of Medicine, FEU-NRMF, 2012 - illustration and photos (colored); (in folder)
Includes appendices and bibliographical references.
ABSTRACT: Pneumocystis jirovecii pneumonia remains the most prevalent opportunistic infection in patients infected with Human Immunodeficiency Virus (HIV). Pneumocystis pneumonia is often the AIDS-defining illness in patients infected with HIV, occurring most frequently when the T-helper cell count (CD4+) is less than 200 cells per cubic millimeter. Common symptoms of pneumocystis pneumonia include the subtle onset of progressive dyspnea, nonproductive cough, and low-grade fever. A 27 year old male, presented with the same symptoms. Later on the course of admission, he was positive for HIV infection. The challenge to the health care provider is knowing when to suspect that the pulmonary condition is related to an underlying HIV infection. Based on high index of clinical suspicion, he was diagnosed and managed with probable Pneumocystis jirovecii pneumonia. Patient had a dramatic response to Trimetophrim-Sulfamethoxazole with adjunctive corticosteroid therapy. Even without the CD4 cell count, the management of this type of pneumonia should not be delayed.
Research - Department of Medicine
MED20120002
