Pierre-Louis Nika, Dlugos Brian
Nika Pierre-Louis and Brian Dlugos were critical care physician assistants in the medical ICU at the Cleveland Clinic in Cleveland, Ohio, when this article was written. Ms. Pierre-Louis now works in the ED at CHI/St. Alexius Health in Bismarck, N.D. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2017 Jan;30(1):28-31. doi: 10.1097/01.JAA.0000508206.48298.bc.
Pneumocystis jirovecii pneumonia (PJP) is a common infection among susceptible patients with compromised immune function and can lead to life-threatening complications without prompt recognition and appropriate treatment. Clinicians should be aware that patients can develop severe infection even while receiving approved prophylactic medications for PJP. Furthermore, atypical radiographic findings, such as the cavitary lung lesions found in the patient in this case report, can make the diagnosis even more challenging.
耶氏肺孢子菌肺炎（PJP）在免疫功能受损的易感患者中是一种常见感染，若不及时识别和恰当治疗，可导致危及生命的并发症。临床医生应意识到，即使患者正在接受批准的PJP预防性药物治疗，仍可能发生严重感染。此外，非典型的影像学表现，如本病例报告中患者出现的肺空洞病变，会使诊断更具挑战性。
