未确诊的肺孢子菌肺炎（PCP）病例。
Case of undiagnosed pneumocystis pneumonia (PCP).
作者信息
Arshad Verda, Iqbal Nousheen, Saleem Haider Ali, Irfan Muhammad
机构信息
Aga Khan Medical College, Aga Khan University, Karachi, Pakistan.
Section of Pulmonology and Critical Care, Department of Medicine, Aga Khan University and Hospital, Karachi, Pakistan.
出版信息
BMJ Case Rep. 2017 Oct 24;2017:bcr-2017-221871. doi: 10.1136/bcr-2017-221871.
Abstract
Pneumocystis pneumonia (PCP) is an opportunistic fungal infection that is usually seen in immunocompromised patients, especially those with HIV, malignancies, organ transplants and on drug therapies like chemotherapy and steroids. PCP has subacute presentation in patients with AIDS which if left untreated gets worse and is a significant cause of morbidity and mortality. Here we present a case of PCP went undiagnosed, partially due to the patient being unaware of his HIV positive status and partially because no organism could be found under the microscope.
摘要
肺孢子菌肺炎（PCP）是一种机会性真菌感染，通常见于免疫功能低下的患者，尤其是那些感染HIV、患有恶性肿瘤、接受器官移植以及正在接受化疗和类固醇等药物治疗的患者。艾滋病患者的PCP呈亚急性表现，若不治疗病情会恶化，是发病和死亡的重要原因。在此，我们报告一例未被诊断出的PCP病例，部分原因是患者不知道自己HIV呈阳性，部分原因是在显微镜下未发现病原体。
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