5.0 of 5 Ratings
A 26-year-old man is undergoing a bone marrow transplantation for treatment of a non-Hodgkin lymphoma that has been refractory to several rounds of chemotherapy and radiation over the past 2 years. He has been undergoing a regimen of cyclophosphamide and total body irradiation for the past several weeks in anticipation of his future transplant. This morning, he reports developing a productive cough and is concerned because he noted some blood in his sputum this morning. The patient also reports pain with inspiration. His temperature is 101°F (38.3°C), blood pressure is 115/74 mmHg, pulse is 120/min, respirations are 19/min, and oxygen saturation is 98% on room air. A chest radiograph and CT are obtained and shown in Figures A and B respectively. Which of the following is the most likely diagnosis?
Pneumocystis jiroveci pneumonia
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