Pneumocystis jiroveci pneumonia: high-resolution CT findings in patients with and without HIV infection.

@article{Kanne2012PneumocystisJP,
  title={Pneumocystis jiroveci pneumonia: high-resolution CT findings in patients with and without HIV infection.},
  author={Jeffrey P Kanne and Donald R. Yandow and Cristopher A. Meyer},
  journal={AJR. American journal of roentgenology},
  year={2012},
  volume={198 6},
  pages={
          W555-61
        }
}
OBJECTIVE The purpose of this essay is to review the spectrum of high-resolution CT findings of Pneumocystis jiroveci pneumonia in immunocompromised patients with and without HIV infection. CONCLUSION Pneumocystis jiroveci pneumonia is a common opportunistic infection affecting immunosuppressed patients. High-resolution CT may be indicated for evaluation of immunosuppressed patients with suspected pneumonia and normal chest radiographic findings. The most common high-resolution CT finding of… 
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Reply 1
TLDR
The clinical and radiographical features from HIV- infected patients cannot be totally applied to diagnose PJP in non-HIVinfected patients, and the imaging pattern of PJP varies with HIV-infected status and disease stage.
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Patients who are at risk of PJP due to the status of their underlying malignancy, treatment-related immunosuppression and/or concomitant use of corticosteroids are well-defined and prophylaxis is highly effective.
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References

SHOWING 1-10 OF 17 REFERENCES
Pneumocystis pneumonia in patients with HIV infection: clinical manifestations, laboratory findings, and radiological features
TLDR
The clinical features of 34 episodes in 32 patients with AIDS-associated PCP are described, and measurement of β-D-glucan levels in the serum or plasma was highly useful in the diagnosis of PCP.
Chronic Pneumocystis carinii pneumonia in AIDS.
TLDR
It is speculated that TNFa may be of importance in producing focal fibrosis in Pneumocystis infection of the lung, given the recent evidence on augmented release of tumor necrosis factor a in HIV-associated pulmonary complications.
The changing face of Pneumocystis carinii pneumonia in AIDS patients.
The classic presentation of PCP is a bilateral interstitial pattern, which may be characterized as finely granular, reticular, or ground-glass opacities. When chest radiographic findings are normal
Radiological Features of Pneumocystisjirovecii Pneumonia in Immunocompromised Patients with and Without AIDS
The aim of this study was to compare chest computerized tomography (CT) findings of Pneumocystisjirovecii pneumonia (PCP) in immunocompromised patients with and without acquired immune deficiency
Comparison of clinical and radiological features of pneumocystis pneumonia between malignancy cases and acquired immunodeficiency syndrome cases: a multicenter study.
TLDR
The characteristics of the CT images differed between the patient groups with different underlying disorders, although it remains to be determined whether CT findings are associated with other clinical features or are predictive of the outcome of PCP.
Pneumocystis jirovecii Pneumonia.
Lung cysts associated with Pneumocystis carinii pneumonia: radiographic characteristics, natural history, and complications.
TLDR
Cysts related to pneumocystis pneumonia are usually multiple, occur most often in the upper parts of the lungs, and tend to decrease in size or resolve after the acute stage of the infection.
Pulmonary disease in patients with AIDS: high-resolution CT and pathologic findings.
TLDR
The advent of new prophylactic and treatment options has resulted in a considerable increase in the length of survival of HIVinfected patients but pulmonary parenchymal complications remain the main cause of morbidity and mortality in patients.
High-resolution CT in the evaluation of clinically suspected Pneumocystis carinii pneumonia in AIDS patients with normal, equivocal, or nonspecific radiographic findings.
TLDR
HRCT may allow exclusion of PCP in patients with findings that are normal, equivocal, or nonspecific on chest radiographs, and empirical therapy or immediate bronchoscopy can be avoided in many patients on the basis of the HRCT findings.
Evolving health effects of Pneumocystis: one hundred years of progress in diagnosis and treatment.
TLDR
Although substantial advances in diagnosis, treatment, and prevention of PCP have decreased its frequency and improved prognosis, PCP continues to be seen in both HIV-infected patients and patients receiving immunosuppressive medications.
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