Clinical Analysis of Five Cases of AIDS Complicated with Pneumocystis Carinii Pneumonia Misdiagnosed as Interstitial Lung Disease
ZHANG Tian
TENG Dan-hua
Abstract：Objective To investigate the causes of misdiagnosis and preventive measures of AIDS complicated with Pneumocystis carinii pneumonia(PCP). Methods Clinical data of 5 patients with PCP misdiagnosed as intersti-tial lung disease (ILD) in our hospital were retrospectively analyzed. Results Of 5 patients,one was admitted to our hospital for cough,expectoration,chest tightness,and shortness of breath for 4 months,which were aggravated 1 weeks before admission;one for fever,accompanied with cough,shortness of breath(which was aggravated by exercise),and little sputum for 3 months,with symptoms worsened 2 days before admission;one admitted because of fever,cough,ex-pectoration,with chest tightness,shortness of breath and dyspnea(which was aggravated by exercise) for 3 months and the symptoms were worsened 1 day before admission;one due to fever with a dry cough,chest tightness and shortness of breath (which was aggravated after exercise) for one month;one admitted due to cough,fever,chest tightness and dyspnea in 2 months,as well as weight loss and symptoms aggravated 1 week before admission. After admission,all of them were misdiagnosed as having ILD,including 3 cases of nonspecific interstitial pneumonia,1 case of allergic pneu-monia and 1 case of organic pneumonia. Duration of misdiagnosis was 2 to 6 days. Subsequently,all patients were diag-nosed with AIDS complicated with PCP according to the history of patients,clinical manifestations and medical exami-nations,and received treatment accordingly. Of them,5 cases were hospitalized for 7 to 14 days;2 were discharged a-gainst medical advice;2 were transferred to specialized hospital for further treatment;1 died of respiratory failure. Four were followed up for 3 months to 1 year after discharge. During the follow-up period,2 cases suffering opportunistic in-fections and symptoms were improved after symptomatic treatment. The prognosis of 2 patients was good. Conclusion The clinical manifestations of AIDS complicated with PCP are diverse,which should be the focus of clinicians. Height-ened perception may help to reduce or avoid misdiagnosis and mistreatment of the disease.
Keywords：Acquired immunodeficiency syndromePneumoniapneumocystisMisdiagnosisLung diseasesinterstitial
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1-4 )