|
Pneumocystis
jirovecii
(Pneumocystis
carineii)
pneumonia:
|
|
"PRO"reasons
include:
|
| > |
He
was
not
on
PCP
primary
prophylaxis. |
| > |
It
is
the
most
common
cause
of
pneumonia
in
AIDS
patients
(his
CD4
T
cell
count
was
4%). |
|
"CON"reasons
include:
|
| > |
He
was
not
as
hypoxemia
as
a
case
of
PCP |
|
Unmasking
of
previously
undiagnosed
pumnonary
tuberculosis
due
to
"Immune
reconstitution
syndrome"
|
|
"PRO"reasons
include:
(ref
1,2)
|
| > |
History
of
pulmonary
disease
in
his
father. |
| > |
His
CD4
T
cell
was
very
low
(4%)
at
the
time
of
ART
initiation. |
| > |
The
illness
occurred
within
the
first
8
weeks
after
ART
initiation. |
|
"CON"reasons
include:
|
| > |
At
the
time
of
this
illness
(admission)
he
still
have
lymphopenia.
It
is
likely
that
his
CD4
T-cell
count
is
still
very
low. |
| > |
CXR
of
"previously
undiagnosed
pulmonary
tuberculosis"
is
more
likely
to
demonstrate
"enlarged
hilar
nodes" |
|
|
