Pneumocystis jirovecii Pneumonia in an Immunocompetent Japanese Man: A Case Report and Literature Review

Autor: Hiromi Ide, Yoshikazu Yamaji, Kazunori Tobino, Masanobu Okahisa, Kojin Murakami, Yuki Goto, Takuto Sueyasu, Saori Nishizawa, Kohei Yoshimine, Miyuki Munechika, Masafumi Oya, Yuka Hiraki
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Pulmonology, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6846
2090-6854
DOI: 10.1155/2019/3981681
Popis: We herein report the case of a 37-year-old immunocompetent man who died from Pneumocystis jirovecii pneumonia (PCP). He was initially treated for an acute exacerbation of interstitial pneumonia; however, the elevation of the patient’s serum (1-3) β-D glucan (BG) level suggested the possibility of PCP and sulfamethoxazole trimethoprim was added. A postmortem pathological examination and retrospective Grocott's methenamine silver (GMS) staining of the bronchoalveolar lavage fluid (BALF), which was obtained on the day of admission, revealed PCP. The present case suggests that it is essential to perform a BG assay and GMS staining of BALF specimens when patients show diffuse ground-glass opacity on chest computed tomography, regardless of their immune status.
Databáze: Directory of Open Access Journals
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