Unusual Case of Pulmonary Pneumocystosis Coinfected with Cryptococcal Meningitis in HIV Individual: A Case Report

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Vijayshri Deotale
Ruchita O. Attal

Abstract

To have a dual/co infection of organism in HIV positive individual is quite unusual phenomenon which indicate patient having CD 4 count <200 units.

Here,we are presenting a case history of  patient who came to the hospital with altered sensorium and was  having respiratory complaints from 15 days prior to the hospitalization.

Based on the microscopic picture we could diagnose the cyst of pneumocystic carinii in the broncho alveloar lavage sample and isolation of cryptococus neoformans. The lungs of individuals infected with HIV are often affected by opportunistic infections and tumours and over two-thirds of patients have at least one respiratory episode during the course of their disease. Pneumonia is the leading HIV-associated infection. 

As patient came to the hospital in the late phase of infection patient could not respond to the treatment and succumbed.

Keywords:
Co-infection, PCP, Cryptococcus neoformans

Article Details

How to Cite
Deotale, V., & Attal, R. O. (2021). Unusual Case of Pulmonary Pneumocystosis Coinfected with Cryptococcal Meningitis in HIV Individual: A Case Report. Asian Journal of Case Reports in Medicine and Health, 5(2), 19-23. Retrieved from https://journalajcrmh.com/index.php/AJCRMH/article/view/30165
Section
Case Report

References

Samuel D Yoo, William Worodria, JL Davis, J Acquir Immune Defic Syndr. 2010; 54(3):269–274.

Khan PA, Malik A, Fatima N, Shameem M. Profile of fungal lower respiratory tract infections and CD4 counts in HIV positive patients. Virol Mycol. 2013;2:113. DOI: 10.4172/2161-0517.1000113

ECDC/WHO.HIV/AIDS. Surveillance report. Stockholm, Sweden: European Centre for Disease Prevention & Control; 2013.

Huang L, Crothers K. HIV associated opportunistic pneumonia. Respirology. 2009;14(4):474-85.

Kanne JP, Yandow DR, Meyer CA. Pneumocystis jirovecii pneumonia: High-resolution CT findings in patients with and without HIV infection. American Journal of Roentgenology. 2012;198(6):W555–W561. View at: Publisher Site | Google Scholar

Milder JE, Walzer PD, Coonrod JD, et al. Comparison of histological and immunological techniques for detection of Pneumocystiscarinii in rat bronchial lavage fluid. J Clin Microbiol. 1980;11:409–417.

Wolfson JS, Waldron M, Sierra L. Blinded comparison of a direct immunofluorescent monoclonal antibody staining method and a Giemsa staining method for identification of Pneumocystiscarinii in induced sputum and bronchoalveolarlavage specimens of patients infected with human immunodeficiency virus. J Clin Microbiol. 1990;28:2136–2138.

Bava J, Solari R, Isla G, Borgeat BME, Troncoso A. Role of microbiology laboratory in the diagnosis with suspected infections of CNS. Iran J Clin Infect Dis. 2009;4:113-114.

Modjarrad K. Which helminthcoinfections really affect HIV disease progression? AIDS 2009;23:276-277.