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Weekly Chest CasesArchive of Old Cases

Case No : 797 Date 2013-02-04

  • Courtesy of Jeong Joo Woo / Eulji Hospital, Eulji University School of Medicine
  • Age/Sex 37 / M
  • Chief ComplaintOccupation: hair dresser Sx: Cough, mild dyspnea Duration: 1 week
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Initial Chest PA

Diagnosis With Brief Discussion

Diagnosis
Pneumocystis jirovecii pneumonia (PCP)
Radiologic Findings
Chest radiograph shows ill-defined bilateral ground-glass opacities(GGO) in the middle and lower lung fields. CT shows scattered GGO in a geographic distribution in the both upper lobes, right middle lobe and more confluent GGO with septal thickening in the both lower lobes. Follow-up radiograph taken 2 weeks later shows aggravation of diffuse GGO in both lung fields.
The patient did not expose his sexual orientation first. Exposure to hair-dye was the given information. The patient was treated with steroid under the impression of interstitial lung disease. However, the symptom and radiologic finding were aggravated.
His blood test result was positive for HIV. GMS staining of bronchial washing fluid revealed numerous pneumocystis jirovecii organisms.
Brief Review
References
Please refer to
Case 436 Case 390 Case 267 Case 217 Case 118
Keywords
Lung, Infection, Fungal infection,

No. of Applicants : 105

▶ Correct Answer : 5/105,  4.8%
  • - UWO , Canada S Lee
  • - Asan medical center , Korea (South) Sang Young Oh
  • - Himeji St.Mary Hospital , Japan Yuichiro Kanie
  • - All India Institute of medical sciences , India Justin Moses
  • - Yonsei University College of Medicine, Shinchon Severance hospital , Korea (South) Young Joo Suh
▶ Correct Answer as Differential Diagnosis : 18/105,  17.1%
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae-Wook Yeh
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Chernomorska , Bulgaria VLADISLAV RUSINOV
  • - HUEC , Brazil Diogo Pinheiro
  • - Universite de Sherbrooke , Canada Maxime Noel-Lamy
  • - Korea university anam hospital , Korea (South) Sung-Hye You
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - Asan Medical Center , Korea (South) Ji Eun Kim
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - GHOL, Hopital de Nyon , Switzerland Benoit Rizk
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Eulji Hospital Eulji University , Korea (South) Min Sun Jeong
  • - NASA SCANS , India RAKESH BHATIA
  • - CLINIQUE STE CLOTILDE , Reunion patrick MASCAREL
  • - China Medical University , Ditmanson Medical Foundation Chia-Yi Christian Hospital ,Taiwan, R.O.C. , Taiwan Jun Jun Yeh
  • - XiangYa hospital , China Xia Yu
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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