A Rare Case of Multipathogenic Pneumonia in a Patient With Human Immunodeficiency Virus

Autor: Ahmad Al-Shyoukh, Mohamed Y Warsame, Moustafa Younis, Ashraf Gohar
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Cureus
ISSN: 2168-8184
Popis: The incidence of acquired immunodeficiency syndrome (AIDS)-related opportunistic infections has declined dramatically following the introduction of potent antiretroviral therapy (ART). However, pulmonary infections remain a significant cause of morbidity and mortality. The spectrum of pulmonary disease that can affect patients with human immunodeficiency virus (HIV) is wide and includes opportunistic infections with many bacterial, fungal, viral, and parasitic organisms. In this case, we present a 65-year-old woman with HIV, non-compliant with ART, who presented with subacute melena, fatigue, dyspnea, and hemoptysis. After extensive evaluation, she was found to have pneumonia caused by four different pathogens: Strongyloides stercoralis, Pneumocystis jirovecii, Cytomegalovirus (CMV), and Pseudomonas aeruginosa. She received trimethoprim-sulfamethoxazole, steroids, and ivermectin. However, her clinical condition did not improve and she passed away.
Databáze: OpenAIRE