|dispnea in a patient with AIDS
Mar 1, 1999
I have a 42 years old male patient with AIDS and dispnea,fever, hipoxemia, DHL up to 700, radiologic imagen of intersticial infiltrates difuse in both lungs, without other manifestations of systemic illnes. Is treated with the regular drugs including steroids for PCP, but he did not reponse clinic and radiologic to it in one week. Without doing bronchoscopy yet, what are my diagnostic options for this particular patient ?
Response from Dr. Currier
The diagnosis of PCP can be made with induced sputum stained by monoclonal antibodies for PCP. Many people get worse during the first week after starting therapy, but you still need to make a diagnosis- if testing by induced sputum is not available then bronchoscopy is the best option. Gallium scan may be positive but it is not a specific test.
Hope this helps.
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