Case report : a probable pnemocystis jirovecii pneumonia in a sexually active homosexual male / Lorielyn Abello-Salvador.

By:

Abello-Salvador, Lorielyn, MD [author]

Language: English Publication details: Fairview, Quezon City Department of Medicine, FEU-NRMF, 2012Description: illustration and photos (colored); (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

LOC classification:

MED20120002

Summary: 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.

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Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	MED20120002 (Browse shelf(Opens below))	Available		R000366

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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

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