ISSN: 2640-2653
Extrapulmonary Pneumocystis Jirovecii Presenting as Fever and Lymphadenopathies. Case Report and Literature Review
Authors: Marcelo V Radisic*, Andrea Landucci*, Boris Elsner, Laura Linares, Melina Ferreiro, Roberto O Froment and Ana Terusi
Pneumocystosis is one of the most common opportunistic infection occurring in HIV infected patients. The usual clinical
presentation of Pneumocystis infection is pulmonary. Extrapulmonary Pneumocystis (EP) infections are uncommon, and
have generally been observed in patients with advanced HIV disease, many times under second line prophylaxis with
aerosolized pentamidine. Because of its low frequency, its low index of suspicion and a variety of clinical presentations,
extrapulmonary forms of P. jirovecii infections are usually difficult to diagnose. We report a case of extrapulmonary
pneumocystosis as a form of presentation of Acquired Immunodeficiency Syndrome (AIDS) presenting with fever and
enlarged intra-abdominal lymph nodes, and review all published cases of extrapulmonary pneumocystosis from 1997 to
2017.
Keywords:
Pneumocystis Jirovecii; AIDS; HIV; Extrapulmonary Infection; Lymphadenopathy
