Clinical Case Database / Category: Clinical Care

A new presentation of HIV and PCP

Publication details

Helen M Dillon MBChB(Hons), MRCP(UK), Martin Wiselka MD, PhD, FRCP
Foundation Years Journal, volume 2, issue 5, p.217 (123Doc Education, London, June 2008)

Abstract

A 51-year-old married man was admitted to the medical admissions unit with a four-week history of progressive shortness of breath and a non-productive cough. He also reported generalised lethargy and 2 stone weight loss over the previous six months. He had no past medical history and was a smoker of 20 pack-years.

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Authors

Helen M Dillon MBChB(Hons), MRCP(UK) (Corresponding author)

ST2 Respiratory Medicine
Glenfield Hospital
Leicester
squirrels_@hotmail.com

Martin Wiselka MD, PhD, FRCP

Consultant in Infectious Diseases
Leicester Royal Infirmary

References

1. Health Protection Agency Website. www.hpa.org.uk
2. Adler MW (Ed). ABC of AIDS, 4th edition. London: BMJ Publishing Group, 1997.
3. Kales CP, Murren JR, Torres RA, Crocco JA. Early predictors of in-hospital mortality for Pneumocystis carinii pneumonia in acquired immunodeficiency syndrome. Arch Intern Med 1987; 147:1413.
4. DeLorenzo LJ, Huang CT, Maguire GP, Stone DJ. Roentgenographic patterns of Pneumocystis carinii pneumonia in 104 patients with AIDS. Chest 1987; 91:323.
5. Gruden JF, Huang L, Turner J, et al. High-resolution CT in the evaluation of clinically suspected Pneumocystis carinii pneumonia in AIDS patients with normal, equivocal, or non-specific radiographic findings. AJR Am J Roentgenol 1997; 169:967.
6. Bellamy R. Pneumocystis pneumonia (PCP) in people with HIV . Clinical Evidence. BMJ, March 2006.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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