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- Title
Pneumocystis jirovecii infection of bilateral adrenal glands in an immunocompetent adult: a case report.
- Authors
Sharma, Niharikaa; Ahlawat, Ravinder Singh; Singh, Harpreet; Sharma, Chandan; Anuradha, Subramanian
- Abstract
Pneumocystis jirovecii (PJ) infection is one of the most common opportunistic infections occurring in patients with HIV/AIDS and other immunocompromised states. It is not known to cause clinically significant illness in immunocompetent hosts. We report a 48-year-old HIV-negative, diabetic male who presented with fever and adrenal insufficiency. Abdominal sonography and PET-CT revealed bilateral enlarged adrenal glands with peripheral enhancement and central necrosis. An endoscopic ultrasound-guided fine-needle aspiration cytology of the left adrenal gland demonstrated well-defined, round cysts of PJ. There was no evidence of pulmonary involvement. The response to first-line treatment was poor and the patient responded to second-line treatment for Pneumocystis infection.
- Subjects
PNEUMOCYSTIS carinii pneumonia treatment; ADRENAL glands; IMMUNOCOMPETENT cells; ULTRASONIC imaging; HIV infections
- Publication
Journal of the Royal College of Physicians of Edinburgh, 2019, Vol 49, Issue 3, p222
- ISSN
1478-2715
- Publication type
Article
- DOI
10.4997/JRCPE.2019.310