Extra-pulmonary Pneumocystis jiroveci infection: a case report

Mehrdad Bakhshayesh Karam, Leila Mosadegh

Pediatric Respiratory Diseases Research Centre, NRITLD, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

In physical examination abdominal tenderness, gate disturbance and penile herpetic lesionswere detected. Decreased disc height at T11-T12 level was detected in chest X-ray. Abdomi-nal sonography and CT scan revealed hypo dense lesions in Lt left Lobe of liver and multiplehypo dense splenic and pancreatic lesions, ascitis, Lt left sided pleural effusion, thicken-ing of jejuneal mucosa and edema of bowel wall. Vertebral body lesion and paravertebralabscess, bony calvarial involvement and adjacent extra axial brain lesion were observed inimaging were other findings. RNA analysis for HIV was positive. Vertebral lesion biopsy andaspiration of splenic lesion were performed and pathology revealed Pneumocystis jiroveciisuggestive of extra pulmonary Pneumocystis carinii infection.
Keywords: Extrapulmonary, HIV, Pneumocystis Jiroveci

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brazj infect dis. 2014;18(6):681–685