WE
CONSIDERED:
–
Bacterial
pneumonia (S. pneumonia, H. influenzae, S. aureus)
–
Mycobacterial
infection including tuberculosis (TB) and non-tuberculous mycobacterium
–
Fungal
infection
–
Malignancy, most likely lymphoma
–
HIV with a secondary bacterial infection, pneumocystis carinii pneumonia
(PCP).
She
was started on vancomycin, cefotaxime, and metronidazole.
Investigations that we conducted:
–
CT
of the chest
–
Blood culture
–
Bronchoscopy and bronchoalveolar lavage
Samples were sent for:
–
TB (PCR, acid fast stain, mycobacterium culture)
–
Bacterial, viral, PCP and fungal culture
–
Serum Immunoglobulins
–
CSF for Gram stain and culture
Below are CHEST CT results.
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this CHEST CT.
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