Pneumocystis jirovecii infection of bilateral adrenal glands in an immunocompetent adult: a case report.
J R Coll Physicians Edinb
; 49(3): 222-224, 2019 09.
Article
in En
| MEDLINE
| ID: mdl-31497790
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.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Pneumocystis Infections
/
Adrenal Gland Diseases
/
Pneumocystis carinii
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Year:
2019
Type:
Article