tetano
Editor, Senior Moderator
IDCases. 2019 Apr 27;17:e00543. doi: 10.1016/j.idcr.2019.e00543. eCollection 2019.
[h=1]HIV adult with fever and shortness of breath: Influenza B misdiagnosed as Pneumocystis (carinii) jiroveci pneumonia (PCP).[/h] Cunha BA[SUP]1,[/SUP][SUP]2[/SUP], Chawla K[SUP]1,[/SUP][SUP]2[/SUP], Jimada I[SUP]1,[/SUP][SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] Clinical correlation is essential in assessing the relevance of the patient's history and physical findings in making a clinical presumptive diagnosis. False diagnostic associations may result in misdiagnosis. We present a case of an elderly female with HIV on HAART who presented with shortness of breath assumed to have Pneumocystis (carinii) jiroveci pneumonia (PCP) even though she had a clinical diagnosis of influenza B. She was thought to have PCP only because she had HIV. Tests for PCP were negative including BAL staining. Influenza B present in her respiratory secretions by PCR and was also cultured from BAL fluid. Diagnostic associations are helpful in suggesting diagnostic possibilities but must be supported by clinical correlation of characteristic clinical features.
[h=4]KEYWORDS:[/h] Elevated LDH; Eosinophil alveolar exudate; Ground glass opacities; HIV and CAP; Influenza B pneumonia; Viral pneumonia; β-1,3 glucan (BG)
PMID: 31080735 PMCID: PMC6505033 DOI: 10.1016/j.idcr.2019.e00543
Free PMC Article
[h=1]HIV adult with fever and shortness of breath: Influenza B misdiagnosed as Pneumocystis (carinii) jiroveci pneumonia (PCP).[/h] Cunha BA[SUP]1,[/SUP][SUP]2[/SUP], Chawla K[SUP]1,[/SUP][SUP]2[/SUP], Jimada I[SUP]1,[/SUP][SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] Clinical correlation is essential in assessing the relevance of the patient's history and physical findings in making a clinical presumptive diagnosis. False diagnostic associations may result in misdiagnosis. We present a case of an elderly female with HIV on HAART who presented with shortness of breath assumed to have Pneumocystis (carinii) jiroveci pneumonia (PCP) even though she had a clinical diagnosis of influenza B. She was thought to have PCP only because she had HIV. Tests for PCP were negative including BAL staining. Influenza B present in her respiratory secretions by PCR and was also cultured from BAL fluid. Diagnostic associations are helpful in suggesting diagnostic possibilities but must be supported by clinical correlation of characteristic clinical features.
[h=4]KEYWORDS:[/h] Elevated LDH; Eosinophil alveolar exudate; Ground glass opacities; HIV and CAP; Influenza B pneumonia; Viral pneumonia; β-1,3 glucan (BG)
PMID: 31080735 PMCID: PMC6505033 DOI: 10.1016/j.idcr.2019.e00543
Free PMC Article