A Case of Pneumocystis Carinii Pneumonia with Diffuse Pulmonary Hemorrhage.

Heo, Woo Young; Jeon, Jung Won; Lee, Young Jae; Park, Sang Do; Lee, Sang Wook; Park, Myung Jae; Yoo, Jee Hong; Kang, Hong Mo

doi:2004.57.4.372

Tuberc Respir Dis > Volume 57(4); 2004 > Article

Case Report

Tuberculosis and Respiratory Diseases 2004;57(4):372-376.
DOI: https://doi.org/10.4046/trd.2004.57.4.372 Published online October 1, 2004.

A Case of Pneumocystis Carinii Pneumonia with Diffuse Pulmonary Hemorrhage.

Woo Young Heo, Jung Won Jeon, Young Jae Lee, Sang Do Park, Sang Wook Lee, Myung Jae Park, Jee Hong Yoo, Hong Mo Kang

Department of Internal Medicine, Kyunghee University, Seoul, Korea. mjpwis@hotmail.com

Abstract

Pneumocystis carinii pneumonia (PCP) is an infectious disease of immune-compromised host. Sometimes it is difficult to differentiate PCP with diffuse pulmonary hemorrhage. Association between PCP and diffuse pulmonary hemorrhage has been reported in 30% of PCP with HIV positive patients. But association between PCP and diffuse pulmonary hemorrhage has not been reported in non-HIV positive patients without any known underlying causes of diffuse pulmonary hemorrhage. We report a case of PCP with diffuse pulmonary hemorrhage in 66 years old male patient. We confirmed PCP and diffuse pulmonary hemorrhage with bronchoalveolar lavage. We can exclude the possible other causes of diffuse pulmonary hemorrhage except PCP. PCP may be one of possible cause of diffuse pulmonary hemorrhage in non-HIV immune compromised patient.

Key Words: Pneumocystis carinii pneumonia, Diffuse pulmonary hemorrhage