Simultaneous bilateral pneumothorax in an immunocompromised HIV patient with Pneumocystis jirovecii pneumonia

Autor: Cristina Matesanz López, Andrés Felipe Cardona Arias, María Teresa Río Ramírez, Gonzalo Díaz Ibero, Sergio Julio Rodríguez Álvarez, María Antonia Juretschke Moragues
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 25, Iss , Pp 147-149 (2018)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2018.08.008
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.
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