误诊为新型冠状病毒肺炎的肺孢子菌肺炎：一例报告
Misdiagnosed Pneumocystis Pneumonia as COVID-19: A Case Report.
作者信息
Hadavand Fahimeh, Shoaei Simin Dokht, Kharazmi Amir Behnam
机构信息
Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clinical Research and Development Center, Imam Hossein Teaching and Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Tanaffos. 2023 Feb;22(2):272-275.
Nonspecific clinical features and imaging findings of COVID-19 may lead to misdiagnosis with other diseases that have specific risks and treatments. Here a patient is reported with Pneumocystis Pneumonia with an undiagnosed HIV disease who was treated for COVID-19 with no response after one week. COVID-19 was diagnosed by CT findings but PCR was negative. Further evaluation for ground glass opacities confirmed AIDS and clinical response to Pneumocystis Pneumonia treatment.
新冠病毒疾病（COVID-19）的非特异性临床特征和影像学表现可能导致与其他具有特定风险和治疗方法的疾病发生误诊。本文报告了一名患有卡氏肺孢子虫肺炎且未确诊人类免疫缺陷病毒（HIV）疾病的患者，该患者接受了为期一周的新冠病毒疾病治疗但无反应。通过CT检查结果诊断为新冠病毒疾病，但聚合酶链反应（PCR）检测呈阴性。对磨玻璃影的进一步评估确诊了艾滋病，并显示出对卡氏肺孢子虫肺炎治疗的临床反应。
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