Open AccessAtypical radiographic manifestation in Pneumocystis jirovecii pneumonia
Author(s) -
Yamakuchi Hiroki
Publication year - 2017
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.14
Subject(s) - medicine , pneumocystis jirovecii , prednisolone , radiography , pneumocystis carinii , pneumocystis pneumonia , rheumatoid arthritis , sputum , immunosuppression , pneumocystosis , pneumonia , lung , radiology , surgery , pathology , tuberculosis
An 88yearold woman with rheumatoid arthritis (RA) was transferred to our hospital due to cough, fever, and hypoxia. She had received 8 mg of weekly methotrexate and 4 mg of daily prednisolone and had not been given Pneumocystis jirovecii pneumonia (PCP) prophylaxis. Her chest Xray showed consolidation of the left lower lung field (Figure 1), and chest computed tomography confirmed left lower lobe consolidation accompanied with air bronchogram (Figure 2). She was given a diagnosis of PCP based on her positive sputum Pneumocystis jirovecii PCR.