Simultaneous bilateral pneumothorax in an immunocompromised HIV patient with Pneumocystis jirovecii pneumonia
| Autor: | Gonzalo Díaz Ibero, Sergio Julio Rodríguez Álvarez, María Teresa Río Ramírez, María Antonia Juretschke Moragues, Andrés Felipe Cardona Arias, Cristina Matesanz López |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
lcsh:RC705-779
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty business.industry Incidence (epidemiology) Human immunodeficiency virus (HIV) Case Report lcsh:Diseases of the respiratory system Disease medicine.disease_cause medicine.disease respiratory tract diseases 03 medical and health sciences Pneumonia 0302 clinical medicine 030228 respiratory system Pneumothorax Bilateral pneumothorax Chemoprophylaxis medicine 030212 general & internal medicine Complication business |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid Respiratory Medicine Case Reports Respiratory Medicine Case Reports, Vol 25, Iss, Pp 147-149 (2018) |
| Popis: | Pneumocystis in humans is caused by a unicellular and eukaryotic organism called P. jirovecii. The overall incidence of P. jirovecii pneumonia (PCP) has decreased with the use of highly active antiretroviral therapy and the use of chemoprophylaxis with trimethroprim sulfametoxazole (TMP/SMX) in cases of immunosuppressed patients. However, approximately 85% of patients with advanced HIV infections continue to experience this disease with inadequate management. Pneumocystis infection can present with spontaneous pneumothorax in 2–6% of cases [8] which can be a potentially fatal complication. We report the case of a 32-year-old man presented with P. jirovecii pneumonia who developed cystic lesions and spontaneous bilateral pneumothorax in spite of TMP/SMX treatment. We consider it an interesting clinical case because few simultaneous bilateral pneumothorax cases have been described directly related to the PCP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|