Journal of Infectious Diseases & Travel Medicine (JIDTM)

ISSN: 2640-2653

Review Article

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

DOI: 10.23880/jidtm-16000113

Abstract

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

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