A 33-year-old man with HIV

[unseennude]

A 33-year-old man with HIV presents to the hospital with a fever, a cough, and shortness of breath that has lasted for 3 days.



The patient is not compliant with his medications. Blood gas measurements reveal a dissolved oxygen level of 64 mm Hg and a lactate dehydrogenase (LDH) value of 475 U/L. What is the most probable diagnosis?

[embolus]

यो त pneumonia हो HIV मा Opportunistic infection एकदमै common हुन्छ

[santoshkhanal]

Originally Posted by unseennude

A 33-year-old man with HIV presents to the hospital with a fever, a cough, and shortness of breath that has lasted for 3 days.



The patient is not compliant with his medications. Blood gas measurements reveal a dissolved oxygen level of 64 mm Hg and a lactate dehydrogenase (LDH) value of 475 U/L. What is the most probable diagnosis?

it is a case of pnemocyctic carinii pneumonia .........hiv patient presenting with short history of cough,fever and dyspnea and failure to respond to standard antibiotics and raised LDH(normal=230-460u/l) 475u/l the most probable diagnosis will be pneumocystic carinni pneumonia.

[unseennude]

you guys are absolutely correct! This is a case of Pneumonia

Pneumonia (probable Pneumocystis carinii pneumonia [PCP]):
The bilateral interstitial infiltrates are suggestive of pneumonia. Given the history and laboratory values of the patient, the most likely type of pneumonia is PCP. The patient had stopped taking Bactrim 2 months earlier. PCP is the most common opportunistic infection in patients with AIDS. Treatment should include antibiotics (eg, Bactrim, dapsone, pentamidine) and, in severe cases (ie, alveolar-arterial [A-a] gradient >35 or dissolved oxygen value <70 mm Hg), glucocorticoids.