Case Report

A Rare Case of Splenic Pneumocystis jirovecii in a HIV-Positive Patient

Table 1

Initial laboratory work up.

ParameterInitial laboratory resultsReference range

Hemoglobin (g/dL)8.712–16
Hematocrit (%)26.642–51
White blood cell count (per mm3)3.74.8–10.8
Platelet count (k/μL)344150–400
Sodium (mEq/L)135135–145
Potassium (mEq/L)3.43.5–5.0
HCO3 (mEq/L)1924–30
BUN (mg/dl)66–20
Creatinine (mg/dL)10.5–1.5
Glucose (mg/dL)6770–120
Lactic acid (mmol/L)1.50.5–1.6
AST (mg/dL)749–48
ALT (mg/dL)635–40
Total bilirubin/direct (mg/dL)0.20.2–1.2
Alkaline phosphatase (U/L)8353–141
Albumin (g/dL)1.83.2–4.8
Alpha fetoprotein (AFP) (ng/mL)3.2<10
Hepatitis A IgMNegativeNegative
Hepatitis B core total antibodyNegativeNegative
Hepatitis B surface antibodyPositiveNegative
Hepatitis B surface antigenNegativeNegative
Hepatitis C antibodyNegativeNegative
HIV RNA PCR (copies/mL)206,000Not detectable
Absolute CD4 cells<20490–1740