Pneumocystis Jiroveci pneumonia Flashcards
What type of organism causes
Pneumocystis Jiroveci pneumonia?
Fungus
What is the name of the fungus that causes Pneumocystis Jiroveci pneumonia?
Pneumocystis jiroveci
What is Pneumocystis jiroveci the most common form of?
Opportunistic infection in people with AIDS
Who is most commonly affected by Pneumocystis jiroveci?
Individuals with HIV who are noncompliant with their cART regimens or antibiotic prophylaxis.
Who should be given prophylaxis for Pneumocystis jiroveci?
All patients with a CD4 count < 200/mm³
How do people with Pneumocystis jiroveci present?
Fever
Non productive cough
Exertional breathlessness
What is a common complication of Pneumocystis Jiroveci pneumonia?
Pneumothorax
What are some possible extrapulmonary manifestations of Pneumocystis Jiroveci pneumonia?
hepatosplenomegaly
lymphadenopathy
choroid lesions
How is Pneumocystis Jiroveci pneumonia diagnosed?
Chest x-ray
What might you see on a chest x-ray of someone with Pneumocystis Jiroveci pneumonia?
Bilateral interstitial pulmonary infiltrates
How can the chest x-ray appear in 10% of cases?
Normal
If the chest x-ray is normal but Pneumocystis Jiroveci pneumonia is suspected, what investigation would you do?
CT scan
What would you look for on a CT scan in someone in with pneumocystis jiroveci pneumonia?
cysts and nodules.
What else would indicate pneumocystis jiroveci pneumonia?
Exercise induced desaturation
What is the gold standard diagnostic test for pneumocystis jiroveci pneumonia?
Bronchoscopy with bronchoalveolar lavage
