Clinical history

27-year old man
Acute dyspnea with cough
No fever
HIV positive
CRP: 5.9 mg/dL (Nl<1 mg/dL)
No leucocytosis (6.5 103/µL, Nl: 4,00-10,00 103/µL)

Radiological images

Radiological findings

CT images

Participation

Extraexaminations

None.

Requirements

Acute pneumonia caused by pneumocystis Jiroveci.
Upper lobe cavities were caused by early emphysema as described in HIV patients or by pneumocystis infection. The exact nature was not proven.
No germs causing cavitation were found in blood cultures and sputum analysis (tuberculosis, aspergillus, mycosis…).
The patient died 1 month after his admission.

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