Accepted at 5:41 p.m. May, 07, 2024 by Ahmed7
Author: docnuggets
Related Note: 1504135784051
Rationale for change

Needs image replacement. This patient has a giant pneumo. I'm not sure if this is the best image to demonstrate "bilateral interstitial infiltrate" of PCP

Text
What is the likely diagnosis in an HIV patient with a CD4+ count of 175/mm3 that presents with fever, dry cough, and hypoxia? Laboratory exam reveals elevated LDH and CXR reveals diffuse, bilateral infiltrates

{{c1::Pneumocystis pneumonia}}

Extra
Severe hypoxia and bilateral interstitial infiltrates in an HIV patient with CD4+ < 200/mm3 favors this diagnosis; post-transplant patients have a more acute course

Photo Credit: Carolyn M. Allen, Hamdan H. AL-Jahdali, Klaus L. Irion, Sarah Al Ghanem, Alaa Gouda, and Ali Nawaz Khan, CC BY 4.0, via Wikimedia Commons
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Watch associated Bootcamp video - Opportunistic Infections: Pneumocystis Pneumonia, PML, Disseminated Kaposi Sarcoma
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