Late Onset Combined Immunodeficiency Presenting with Recurrent Pneumocystis jiroveci Pneumonia
Figure 1
(a) Chest X-ray on admission with diffuse bilateral infiltrates. (b) 2 weeks after admission, intubated, receiving TMP/SMZ plus broad-spectrum antibiotics, after a 5-day immunoglobulin infusion course. First appearance of ground glass opacification and cystic/bullous lesions. Pseudomonas aeruginosa isolated from blood cultures. (c) 3.5 weeks after admission, short term clinical improvement.
