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Virtual Pediatric Hospital: Paediapaedia: Pneumonia, Pneumocystis Carinii Paediapaedia: Chest and Airway Diseases

Pneumonia, Pneumocystis Carinii

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Respiratory distress in an immune compromised patient due to a congenital immune disorder, immunosupression treatment, or AIDS.

Etiology/Pathophysiology:
Pneumocystis Carinii, which is a protozoa.

Pathology:
Not applicable

Imaging Findings:
The appearance is extremely variable. The classical appearance is diffuse bilateral central consolidation radiating into the peripheral lung zones with sparing of the apices. A patchy reticular granular density that progresses rapidly to diffuse alveolar consolidation is a typical course. Effusion and lymphadenopathy are rarely seen. The CXR clears very slowly.

DDX:
Infections in Immune Suppressed Hosts

References:
See References Chapter.

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