Pulmonary cannonballs in a patient with Acquired Immunodeficiency Syndrome (AIDS)
Miranda McGhee,
Dante Paolo Melendez-Lecca,
Nelson Iván Agudelo Higuita
Affiliations
Miranda McGhee
Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center, 800 Stanton L. Young Blvd., Suite 7300, Oklahoma City, OK, 73104, United States; Corresponding author.
Dante Paolo Melendez-Lecca
Division of Infectious Diseases, 30 N1900 E, 4B319, Salt Lake City, UT, 84132, United States
Nelson Iván Agudelo Higuita
Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center, 800 Stanton L. Young Blvd., Suite 7300, Oklahoma City, OK, 73104, United States
Pneumocystis jirovecii pneumonia (PJP) remains one of the most common and life-threatening complications in patients with AIDS. PJP typically presents subacutely with a dry cough, shortness of breath with exertion, fever, and bilateral ground-glass opacities on imaging. However, atypical imaging findings have been reported including cysts, isolated lymphadenopathy, and small to large nodules. This case highlights the importance of considering unusual presentations of a relatively common entity in order to prevent delays in diagnosis and treatment.
