The first report of pneumocystis carini pneumonia  in  a patient with HIV infection in Kermanshah

AR Janbakhsh; B Sayad; A Mikaili

Journal of Kermanshah University of Medical Sciences

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The first report of pneumocystis carini pneumonia in a patient with HIV infection in Kermanshah

Author(s):

AR Janbakhsh^1,*,

B Sayad¹,

A Mikaili¹

1Iran

Journal of Kermanshah University of Medical Sciences:Vol. 7, issue 2; e81214

Published online:Sep 19, 2003

Article type:Case Report

Received:Apr 12, 2003

Accepted:Aug 15, 2003

How to Cite:AR JanbakhshB SayadA MikailiThe first report of pneumocystis carini pneumonia in a patient with HIV infection in Kermanshah.J Kermanshah Univ Med Sci.7(2):e81214.

Abstract

Background and Objective : Pneumocystis carini pneumonia is one of the most important opportunistic infections in patients with HIV/AIDS. Occurrence of this disease reflects marked immunodeficiency and a CD4 count of less than 200 per microliter of serum.

Case report: A 25 years old HIV positive man was referred to the Sina hospital with aspiration pneumonia following a suicide. Because of severe dyspnea, cyanosis, continuous fever and cough, and lack of response to ordinary treatments, pneumocystis carini pneumonia was suspected and proved by sputum examination. The patient's condition improved after 2 weeks of therapy, but soon after discharge, clinical deterioration occurred and the patient died within 24 hours.

Discussion: The patient's death may be the result of lack of therapeutic compliance by the patient, or concomitant occurrence of other opportunistic infections. Occurrence of such diseases as pneumocystis carini pneumonia may sugges begining of a new stage in HIV/AIDS epidemic. In the future, we may see other opportunistic infections and unusual diseases in the HIV/AIDS patients in Kermanshah.

Keywords

HIV

Pneumocystis carini

Kermanshah

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