Season 1 Case 28

Season 1 Case 28

Case 28

History: 24 yo female arriving at our local county hospital with SOB


Answer:

CLICK HERE FOR ANSWER

Answer: PCP (or now known as PJP) pneumonia.

Note the characteristic perihilar, symmetric reticular infiltrates (resembling non-cardiogenic edema). This was confirmed at bronchoscopy

Don’t forget that PCP pneumonia can have a NEGATIVE chest X-ray in 10-40% of patients. (as can ANY pneumonia!)

More info: http://www.learningradiology.com/notes/chestnotes/pneumocytispage.htm