Weekly Chest CasesArchive of Old Cases

Case No : 390 Date 2005-04-16

  • Courtesy of Kyung-Nyeo Jeon, M.D. / Gyeongsang National University Hospital, Jinju, Korea
  • Age/Sex 46 / M
  • Chief ComplaintNonproductive cough for two months
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Pneumocystis carinii pneumonia in a HIV(+) patient
Radiologic Findings
Initial chest CT scans show scattered foci of ground-glass opacity in both upper lobes.

HRCT scans obtained after 2 weeks, when the patient presented with dyspnea and fever, revealed diffuse ground-glass opacities in both lungs. Note central or perihilar predominance of the lesion.

His blood test result was positive for HIV. He denied any AIDS symptoms before. A CD4 level was 18 cells/ mm3. GMS staining of bronchial washing fluid revealed numerous pneumocystis carinii organisms.
Brief Review
Refer to cases 97, 118, 217, 267 and Imaging conference 2004 case 8
References
Refer to cases 97, 118, 217, 267 and Imaging conference 2004 case 8
Keywords
Lung, Infection, Fungal infection,

No. of Applicants : 37

▶ Correct Answer : 10/37,  27.0%
  • - Hanyang University Hospital, Seoul, Korea Yo Won Choi
  • - Monaldi Hospital, Naples, Italy Gaetano Rea
  • - Radiologie Guiton, La Rochelle, France Denis Chabassiere
  • - IRCCS S.Luca Hospital, Milan, Italy Filippo Casolo
  • - Yonsei University Hospital, Korea Eun Hye Yoo
  • - LIJ, New York Pinar Karakas
  • - Lionel Cananrd Centre D'imagerie, France Jacques CALLOT Nancy
  • - ASL Bologna, Maggiore Hospital, Italy Marcellino Burzi
  • - Incheon Sarang Hospital, Incheon, Korea Jung Hee Kim
  • - Turkey Cetin Celenk
▶ Semi-Correct Answer : 15/37,  40.5%
  • - CIM Saint Dizier, France JC Leclerc
  • - Seoul National University Hospital, Korea Dae Sik Kim
  • - Shinmasan Hospital, Korea Kyung Hwa Jung
  • - Ping Tung Christian Hospital, Taiwan Jun-Jun Yeh
  • - Jinju jeil hospital, Korea Hyung-Gon, Lee
  • - Kyunghee University Hospital, Seoul, Korea Su Youn Sim
  • - Homs National Hospital, Homs, Syria Rami Abou Zalaf
  • - Annemasse, Polyclinique de Savoie, France Gay-Depassier Philippe
  • - Max Hospital, New Delhi, India Vickrant Malhotra
  • - Samsung Medical Center, Seoul, Korea Ha Young Kim
  • - Bundang Cha Hospital, Korea Kyoung Ah Kim
  • - Royal Melbourne Hospital, Melbourne, Australia Stefan Heinze
  • - Pgimer, Chandigarh, India Ashish Gupta
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
  • - Annecy Hospital, France Gilles Genin
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

This website is optimized for IE 10 and above.