Case Report
Unusual Radiographic Presentation of Pneumocystis Pneumonia in a Patient with AIDS
Table 2
Microbiology studies.
| | Test name | Hospital day collected | Result |
| | Blood culture x2 | 0 | Negative | | Nasopharynx influenza RNA | 0 | Negative | | Blood for acid-fast bacilli | 1 | Negative at 42 days | | Induced sputum for acid-fast bacilli | 2 | Negative at 56 days | | Induced sputum for acid-fast bacilli | 3 | Negative at 56 days | | Induced sputum for MTb PCR | 3 | Negative | | Induced sputum for bacterial culture | 2 | Few oronasal flora | | Induced sputum for fungal culture | 2 | Candida albicans | | BAL fluid for PCP examination | 4 | Many clumps of trophozoites and cysts. No viral inclusions seen. No fungi seen. | | BAL fluid for fungal culture | 4 | Candida albicans | | BAL fluid for acid-fast bacilli | 4 | Negative at 56 days | | BAL fluid for bacterial culture | 4 | No organisms seen | | Serum cryptococcal antigen | 1 | Negative | | Coccidioides antibody (complement fixation) | 1 | <1 : 2, Negative | | Coccidioides antibody (immunodiffusion) | 1 | Negative | | Transbronchial biopsy for acid-fast bacilli culture | 4 | Negative at 28 days | | Transbronchial biopsy for bacterial culture | 4 | Negative at 56 days |
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Patient had thrush, and this was felt to be an upper airway contaminant.
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