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KMID : 1144320120440010040
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감염과 화학요법
2012 Volume.44 No. 1 p.40 ~ p.43
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A Case of Multiple Pulmonary Nodular Pneumocystis jirovecii Pneumonia in an Acquired Immune Deficiency Syndrome Patient
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Kim Eun-Jung
Yoo Seung-Jin
Kang Gyoung-Hoon
Hong Man-Yong
Hong Jong-Sam
Ryu Dae-Sik
Eom Dae-Woon
Jung Bock-Hyun
Song Eun-Hee
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Abstract
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Pneumocystis jirovecii pneumonia (PCP) is a frequent manifestation of Acquired Immune Deficiency Syndrome (AIDS). The classic chest radiographic finding is perihilar ground glass opacities that may progress to more diffuse lung involvement. Atypical radiographic appearances include a normal chest film, lobar or segmental consolidation, cystic lesions, cavitation, pneumothorax, pleural effusion, and solitary or multiple pulmonary nodules. Although PCP is common in AIDS, presenting with nodular pulmonary densities is rare. We encountered the case of a 33-year-old man with AIDS whose chest radiography showed multiple bilateral nodular patterns suggestive of malignancy. We performed a transcutaneous lung biopsy and diagnosed him with PCP by Gomori methenamine-silver staining. Along with fungal and mycobacterial infections, intrathoracic Kaposi’s sarcoma, and lymphoma, PCP should be considered in the differential diagnosis of nodular pulmonary disease in AIDS patients.
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KEYWORD
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Multiple pulmonary nodules, Pneumocystis jirovecii pneumonia, Acquired Immune Deficiency Syndrome
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