Pneumocystis jirovecii pneumonia (PJP)

Case contributed by Pranathi Settipalli
Diagnosis almost certain

Presentation

Acute shortness of breath and non-productive cough in a immunosuppressed patient.

Patient Data

Age: 75 years
Gender: Female

Widespread bilateral airspace opacities. Otherwise normal.

Case Discussion

Polymerase chain reaction (PCR) assay comfirmed a diagnosis of Pneumocystis jiroveci pneumonia, an opportunistic fungal infection with airborne transmission.

Chest radiography typically shows increasing widespread opacity that can progress to pneumatocele formation.

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