A RARE CASE OF PNEUMOCYSTIS JIROVECII PNEUMONIA IN CHRONIC KIDNEY DISEASE

Rajkumar Manchikalapudi; Krishnappriya Ramachandran; Srinivasan. R

Volume : VII, Issue : I, January - 2018

A RARE CASE OF PNEUMOCYSTIS JIROVECII PNEUMONIA IN CHRONIC KIDNEY DISEASE

Rajkumar Manchikalapudi, Krishnappriya Ramachandran, Srinivasan. R

Abstract :

A 60 yr old male patient who was a stone cutter by occupation presented with complaints of eathlessness fever and cough since 3 days. He was a know case of end stage kidney disease and was on maintenance haemodialysis since 2 years. Serology test for HIV was negative. Chest x–ray was showing infiltrates. After being suspected of pulmonary oedema initially, he was then treated with diuretics and prophylactic antibiotics. With no significant improvement of symptoms and chest x–ray findings, HRCT thorax was done which showed bilateral central reticulo–nodular infiltrates, patchy areas of consolidation and pleural effusion. Bronchoscopy was performed and microbiological investigation of onchoalveolar lavage (BAL) was suggestive of Pneumocystis jirovecii pneumonia (PCP).The incidence of PCP in non–HIV individual with end stage renal disease without organ transplant is very low, this one being one such particular case that we have come across.