Granulomatous Pneumocystis Jiroveci Pneumonia Associated with Immune Reconstituted HIV

Abstract

Pneumocystis jiroveci pneumonia uncommonly presents with pulmonary nodules and granulomatous inflammation. An unusual case of granulomatous P jiroveci pneumonia in an HIV patient with a CD4+ lymphocyte count of greater than 200 cells/mm3, occurring in the context of immune reconstitution with highly active antiretroviral therapy, is described. The case highlights the importance of establishing this diagnosis to institute appropriate therapy.

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Natasha F Sabur, Margaret M Kelly, M John Gill, Martha D Ainslie, and Sachin R Pendharkar, “Granulomatous Pneumocystis Jiroveci Pneumonia Associated with Immune Reconstituted HIV,” Canadian Respiratory Journal, vol. 18, no. 6, pp. e86-e88, 2011. doi:10.1155/2011/539528

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