Weekly Chest CasesArchive of Old Cases

Case No : 823 Date 2013-08-05

  • Courtesy of Inyoung Song, Jeong Geun Yi / Konkuk University Medical Center
  • Age/Sex 35 / M
  • Chief Complaintfever, chill, and chest discomfort for 3 weeks
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Pneumocystis jirovecii pneumonia (PCP)
Radiologic Findings
Chest radiograph shows patchy, ill-defined increased opacities in both lungs. High-resolution CT image shows patchy but extensive ground-glass opacity throughout both lungs. Scattered foci of consolidation, thin-walled cysts are also noted.
The PCR test for Pneumocystis jirovecii of bronchoalveolar lavage (BAL) fluid was positive. GMS staining of BAL fluid revealed pneumocystis jirovecii organisms.
Brief Review
Please refer to
Case 797, Case 436, Case 390, Case 267, Case 217, Case 118,
References
Keywords
Lung, infection, Fungal infection,

No. of Applicants : 74

▶ Correct Answer : 40/74,  54.1%
  • - Tokyo Metropolitan Police Hospital , Japan Akifumi Hagiwara
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - Samsung medical center , Korea (South) Hyun Su Kim
  • - Tong young Red cross hospital , Korea (South)
  • - University of British Columbia , Canada Amr Ajlan
  • - the First Affiliated Hospital of NanJing Medical University , China Aiping Chen
  • - radiologist, aditya imaging centre , India vivek patel
  • - Avrasya Hospital , Turkey Murat Ulusoy
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - sahyadri speciality hospital , India kothareddy dileepreddy
  • - Khoo Teck Phuat Hospital Singapore , Singapore ashish chawla
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae-Wook Yeh
  • - Kyung Hee University Hospital at Gangdong , Korea (South) Seong Jong Yun
  • - Nagasaki University Hospital, Department of Pathology , Japan TOMONORI TANAKA
  • - Shiga University of Medical Science , Japan Akitoshi Inoue
  • - Himeji St.Mary Hospital , Japan Yuichiro Kanie
  • - Vikram hospital , India Pravin Mahadevappa
  • - Cheonan soonchunhyang university hospital , Korea (South) Yu sung Yoon
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - district tuberculosis centre,poonamallee , India gayathri ganesh
  • - otsu municipal hospital , Japan kenjirou iwaya
  • - the first affiliatited hospital of nanjing medical univercity , China Hai Xu
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - National Taiwan University Hospital , Taiwan Li-Ta Keng
  • - UWO , Canada S Lee
  • - Northern Yokohama Showa university , Japan Kota Watanabe
  • - University of Tsukuba Hospital , Japan Sodai Hoshiai
  • - CHU Poitiers , France CHAN paul
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - Onomichi Municipal Hospital , Japan Yoshihisa Masaoka
  • - ICD,MCH CALICUT , India rikhy krishnan
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - CAC Rennes , France nicolas gautier
  • - SNUH , Korea (South) Eui Jin Hwang
  • - Kyungpook National University Hospital , Korea (South) Jaekwang Lim
  • - Kobe City Medical Center General Hospital , Japan Yasuhisa Kurata
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Private sector , Greece Vasilios Tzilas
▶ Correct Answer as Differential Diagnosis : 15/74,  20.3%
  • - Asan Medical Center , Korea (South) Sanghyun Choi
  • - Kilpauk medical college , India abirami mahadevan
  • - Columbia Asia , India John Joseph
  • - Kyoto University , Japan Akihiko Sakata
  • - Eulji Hospital Eulji University , Korea (South) Min Sun Jeong
  • - GHOL, Hopital de Nyon , Switzerland Benoit Rizk
  • - Pneumology GHSR , Reunion fabrice paganin
  • - Chonnam National University Hospital , Korea (South) Jung hyun Kim
  • - Hanyang university medical center , Korea (South) Yoonah Song
  • - IRSA La Rochelle , France Denis Chabassiere
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - All India Institute of medical sciences , India Justin Moses
  • - CLINIQUE STE CLOTILDE , Reunion patrick MASCAREL
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - NASA SCANS , India RAKESH BHATIA
▶ Semi-Correct Answer : 1/74,  1.4%
  • - NDMVP Nashik , India Imran Jindani
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