Pneumocystis jirovecii Pneumonia in an Immunocompetent Japanese Man: A Case Report and Literature Review-Reference-Cited by-同舟云学术

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

Published:2019-03-07 Issue: Volume:2019 Page:1-5
ISSN:2090-6846
Container-title:Case Reports in Pulmonology
language:en
Short-container-title:Case Reports in Pulmonology

Author:

Ide Hiromi¹^ORCID,Yamaji Yoshikazu²,Tobino Kazunori¹,Okahisa Masanobu¹,Murakami Kojin¹,Goto Yuki¹,Sueyasu Takuto¹,Nishizawa Saori¹,Yoshimine Kohei¹,Munechika Miyuki¹^ORCID,Oya Masafumi³,Hiraki Yuka³

Affiliation:

1. Department of Respiratory Medicine, Iizuka Hospital, Japan

2. Department of Respiratory Medicine and Infectious Disease, Graduate School of Medicine, Yamaguchi University, Japan

3. Department of Pathology, Iizuka Hospital, Japan

Abstract

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.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine

Link

http://downloads.hindawi.com/journals/cripu/2019/3981681.pdf

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