http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2010/09/Cases/AR_09-10_PetersonRC/Fulminant-pneumonia-with-cavitary-destruction-of-lung-parenchyma.aspx<p>A 29-year-old African American male with newly diagnosed HIV infection and AIDS (cd4 count 207 cells/mL and viral load of 222,000 copies/mL) presented to the ER with shortness of breath, fatigue, and non-productive cough of one-month duration. Physical exam was notable for a fever, tachycardia, tachypnea, pulse oxygenation of 71% on room air, and distant breath sounds. Given the patient’s respiratory findings and history of HIV, there was a strong suspicion of community acquired pneumonia or PCP. Clinicians following the patient immediately initiated intravenous trimethoprim/sulfamethoxazole and corticosteroid therapy. There was no history of prior treatment with inhaled pentamidine.</p>Thursday, 16 Sep 2010 14:11:33 GMT