American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Apply for this position
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American Journal of Medical Case Reports. 2022, 10(1), 13-16
DOI: 10.12691/ajmcr-10-1-5
Open AccessCase Report

Pulmonary Pneumocystosis in a Patient with a CD4-Lymphocyte Count Greater than 200 cells/μL

Louis Costanzo1, , Steffi Nainan1, Vladimir Falb1 and Davood Johari2

1Department of Internal Medicine, State University of New York, Downstate- Health Science University, Brooklyn, NY, USA – 11203

2Division of Pulmonology and Critical Care Medicine, Kings County Hospital Center, Brooklyn, NY, USA - 11203

Pub. Date: December 19, 2021

Cite this paper:
Louis Costanzo, Steffi Nainan, Vladimir Falb and Davood Johari. Pulmonary Pneumocystosis in a Patient with a CD4-Lymphocyte Count Greater than 200 cells/μL. American Journal of Medical Case Reports. 2022; 10(1):13-16. doi: 10.12691/ajmcr-10-1-5

Abstract

A 47-year-old man, who has no past medical history, presented to the hospital with shortness of breath. He was found to have HIV with a CD4 count of nearly 300 cells/μL, elevated LDH, and a chest x-ray depicting multifocal pneumonia with ground glass opacities. He was admitted to the intensive care unit and ultimately diagnosed with pneumocystis pneumonia status post bronchoscopy; making PCP his first AIDS-defining event. While PCP usually occurs when individual CD4 counts are <200 cells/μL, approximately 10% of cases occur in patients with higher counts.

Keywords:
acute dyspnea human immunodeficiency virus pneumocystosis pneumonia

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