Condition Info - BotMed Application

ConditionName

Pneumocystis jirovecii Pneumonia (PJP)

ConditionDescription

A fungal infection of the lungs

Symptoms

Fever (It's usually low if you have HIV and higher if you don't.);
Dry cough or wheezing;
Shortness of breath (SOB);
Fatigue;
Chest pain or tightness when you breathe;
Chills;
Weight loss;

PhysicalFindings

Pulse oximetry;

ClinicalTests

Best initial test: chest xRay: bilateral interstitial infiltrates;
Histopathologic confirmation;

ALWAYS elevated LDH >220

Most accurate test:
Bronchoalveolar lavage;

RiskFactors

Death;
RA;
Patients on long term high dose steroids;
HIV;
< 200 CD4;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TMP/SMX – best for treatment and prophylaxis;

Steroids can decrease mortality;

TreatmentOptions

PharmOptions

WebLink

https://www.merckmanuals.com/professional/pulmonary-disorders/pneumonia/pneumocystis-jirovecii-pneumonia