A 40-Year-Old Man With Hemolytic Anemia, Ig Deficiency, and Bilateral Pulmonary Infiltrates

Balestro, Elisabetta; Polverosi, Roberta; Vassallo, Robert; Pastore, Umberto; Farra, Fabrizio Dal; Rossi, Giancarlo; Calabro, Stefano

doi:10.1378/chest.07-0212

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2013

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“…Pulmonary function testing has mainly demonstrated restrictive disease with a reduced or normal total lung diffusion capacity, though obstructive disease and normal findings have also been reported in LIP [6,17]. Arterial blood gas measurements are unhelpful as they may reveal a normal PaO 2 , or mild to profound hypoxaemia with an increased alveolar to arterial oxygen gradient [6].…”

Section: Discussionmentioning

confidence: 99%

Lymphoid interstitial pneumonia—Another consideration for recurrent bacterial pneumonia in an HIV positive patient (A case report)

Persaud¹,

Harris²,

Ramsahai³

2013

CRCM

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We present a 39-year-old female with HIV, medication non-compliance, and recurrences of bacterial pneumonia. She presented with a two-day bout of worsening shortness of breath, dyspnea and productive cough. A CT of the chest was notable for multi-lobular pneumonia. She underwent flexible bronchoscopy and biopsy which revealed lymphocytic interstitial pneumonitis. Conclusion: Recurrent bacterial pneumonia is a rare complication of lymphoid interstitial pneumonia (LIP) in HIV positive patients, and should be considered in the differential as a possible precipitator of recurrent pneumonia inan HIV positive patient.

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Section: Discussionmentioning

confidence: 99%