Spot Diagnosis
Pneumocystis carinii {PCP}.
Question :
This child presented with cough, breathless and had tachypnea and cyanosis on examination. In addition he was malnourished and had hepatosplenomegaly and generalized lymphadenopathy.

What is the diagnosis?
Discussion :
Pneumocystis carinii {PCP}. PCP is the most common opportunistic infection in HIV infected infants. It is now renamed as pneumocystis jiroveci. Most of the patients present with acute onset of tetrad of symptoms of fever, tachypnea, dyspnea and cough. X-ray shows bilateral diffuse parenchymal infiltrates with “ground-glass” or reticulogranular appearance which starts predominantly perihilar and progressing peripherally to reach the apical portion of the lung. Treatment consists of trimethoprim, sulfamethoxazole.

Correct Answers : yes  3%

Last Shown : Dec 2006
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