Pfeifer Kyle, Kalra Vivek, Adebowale Adeniran, Juthani-Mehta Manisha, Soo-Shin Myung
Department of Radiology, Yale New Haven hospital, New Haven, CT, USA.
Department of Pathology, Yale New Haven hospital, New Haven, CT, USA.
J Radiol Case Rep. 2014 Nov 30;8(11):15-24. doi: 10.3941/jrcr.v8i11.1772. eCollection 2014 Nov.
Pneumocystis jiroveci pneumonia is a common acquired immune deficiency syndrome defining illness. Pneumocystis jiroveci pneumonia is classically described as having symmetrical bilateral perihilar ground-glass opacities on chest radiographs. We present an "atypical" case of Pneumocystis jiroveci pneumonia presenting as symmetric biapical cystic spaces with relative sparing of the remainder of the lungs in a 22 year-old male, previously undiagnosed with acquired immune deficiency syndrome. Our case illustrates that formerly unusual presentations of Pneumocystis jiroveci pneumonia are becoming more common as acquired immune deficiency syndrome defining illnesses as more patients are being imaged with further imaging such as high resolution computed tomography.
耶氏肺孢子菌肺炎是一种常见的获得性免疫缺陷综合征界定疾病。经典的耶氏肺孢子菌肺炎在胸部X线片上表现为双侧对称性肺门周围磨玻璃影。我们报告一例“非典型”的耶氏肺孢子菌肺炎病例，该病例表现为一名22岁男性双侧肺尖部对称的囊腔，肺部其余部分相对 spared，该男性此前未被诊断为获得性免疫缺陷综合征。我们的病例表明，随着更多患者接受高分辨率计算机断层扫描等进一步成像检查，耶氏肺孢子菌肺炎以前不常见的表现作为获得性免疫缺陷综合征界定疾病正变得越来越普遍。 （注：spared这个词有误，可能是spared，结合语境推测是“ spared”，意为“ spared，幸免，未受影响” ，但原词错误不影响整体理解，故按照原文翻译，这里可以根据正确词汇灵活调整译文表述）
