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pnuemonia of unknown origin
Mar 7, 2001

Is there a type of pnuemonia that effects hiv+ individuals that is not typically common. Bronchoscopy was neg for pcp and mycoplasma abg's are good no sob ect but running fever that runs from 100-103 was as high as 105. Viracept was stoppped to see if that was the culprit. Xrays show bilateral infiltrates but totally asymptomatic. What else could cause trauma to the lungs? Everyone seems stymied. Thank you in advance!

Response from Dr. Feinberg

There are many disease processes that can cause lung infiltrates, including a range of common to not-so-common infections. HIV+s are often susceptible to fungal infections because of the immune defects caused by HIV. Similarly mycobacteria and various viruses (such as CMV) can cause lung infection. There are also a host of lung diseases that are not specifically associated with HIV. You don't say what you T cell count is, and that would help your doctors narrow down the possibilities. In rare situations, an open lung biopsy is required to make a diagnosis, but since your blood gases are OK and you're not short of breath, it is unlikely that anyone would push that hard to find the cause. It is more likely that another bronchoscopy would be attempted. It is also possible that the fever is due to something else entirely, and not the process causing an abnormal X-ray.


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