Nejmi H, Ziati J, Tijani A, Charaf K, Eladib A R, Younous S, Samkaoui M A, Zougari L
Service d'anesthésie réanimation, CHU Mohammed VI, 40000 Marrakech, Maroc.
Med Mal Infect. 2010 Apr;40(4):241-2. doi: 10.1016/j.medmal.2009.08.006. Epub 2009 Sep 26.
Pneumocystis jirovecci is an opportunist fungal agent that usually causes pneumonia in immunocompromised patients, particularly those presenting with AIDS. In rare cases, this fungus can cause pneumonia in immunocompetent patients. The symptomatology in this case is acute and fulminant. We report the case of a Pneumocystis jirovecci pneumonia in a young patient initially admitted for acute respiratory distress. This case is unusual since all the exams performed to screen for immune deficit were negative. The diagnosis was made after identifying Pneumocystis jirovecci cysts in broncho-alveolar lavage.
耶氏肺孢子菌是一种机会性真菌病原体,通常在免疫功能低下的患者中引起肺炎,尤其是那些患有艾滋病的患者。在罕见情况下,这种真菌可在免疫功能正常的患者中引起肺炎。该病例的症状是急性和暴发性的。我们报告了一名年轻患者发生耶氏肺孢子菌肺炎的病例,该患者最初因急性呼吸窘迫入院。此病例不同寻常,因为所有用于筛查免疫缺陷的检查均为阴性。诊断是在支气管肺泡灌洗中发现耶氏肺孢子菌囊肿后做出的。