A Rare Initial Presentation of Leukemia With Pneumocystis Jirovecii Pneumonia

Harmeen Goraya, Makardhwaj Shrivastava, Olufisayo Otusanya, Amara Nandikolla, Amit S. Tibb
2016 Journal of Medical Cases  
Pneumocystis jirovecii pneumonia (PJP) causes life-threatening respiratory failure in immunocompromised patients such as patients with HIV infection, hematologic and solid malignancies, organ transplantations, and autoimmune diseases and patients receiving immunosupressive medications. In HIV patients, PJP usually takes an indolent course while in HIV negative but immunocompromised patients, the disease is usually severe and is associated with a high mortality rate. A high index of suspicion
more » ... dex of suspicion and early institution of therapy is warranted. We present a case of life-threatening PJP as the first manifestation in a patient with undiagnosed acute leukemia.
doi:10.14740/jmc2472w fatcat:drcatdwaebgi7gp46yekxlw2y4