Late Onset Combined Immunodeficiency Presenting with Recurrent Pneumocystis jiroveci Pneumonia
Figure 2
(a) 5 weeks after admission, new respiratory failure, bullous lesions, and dense infiltrates. (b) 7 weeks after admission, receiving again TMP-SMZ, now with clindamycin, and antipseudomonas antibiotics (colistin, ciprofloxacin, and imipenem), after the 2nd immunoglobulin infusion course. (c) 9 weeks after admission, radiologic deterioration of dense infiltrates. Pseudomonas aeruginosa still isolated from bronchial samples, no other pathogen identified. (d) 10 weeks after admission, significant clinical improvement. (e) 11 weeks after admission, before hospital discharge.
