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Reminder of important clinical lesson
Case report
Pulmonary coinfection by Pneumocystis jirovecii and Cryptococcus species in a patient with undiagnosed advanced HIV
  1. Benjamin Valente-Acosta1,
  2. José Padua-Garcia1 and
  3. Andrés Tame-Elorduy2
  1. 1Internal Medicine Department, Centro Medico ABC, Ciudad de México, Mexico
  2. 2Escuela de Medicina, Instituto Tecnologico y de Estudios Superiores de Monterrey Campus Ciudad de Mexico, Tlalpan, Mexico
  1. Correspondence to Dr Benjamin Valente-Acosta; benjamin.valente-acosta1{at}alumni.lshtm.ac.uk

Abstract

Pneumocystis jirovecii is a common cause of pneumonia in patients with advanced HIV. In a lot of cases, there is a concomitant pulmonary infection. Cryptococcosis presents as a common complication for people with advanced HIV. However, it usually presents as meningitis rather than pneumonia. We present a case of a patient with coinfection by P. jirovecii and Cryptococcus spp without neurological involvement and a single nodular pulmonary lesion.

  • HIV / AIDS
  • pneumonia (infectious disease)
  • cryptococcosis
  • Cryptococcus

http://dx.doi.org/10.1136/bcr-2019-233607

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    Footnotes

    • Contributors BV-A and AT-E conceived the idea and design of the article. BV-A, JP-G and AT-E contributed to the preparation and review of the initial manuscript. All authors approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.