Pneumocystis jiroveci Pneumonia in an Immunocompetent Female Patient


Introduction: The pneumocystosis is an infection caused by a saprophytic germ Pneumocystis jiroveci. It is exceptional in immunocompetent patients. Case report: This is a 30-year-old patient, admitted to the service for an acute respiratory failure. She was treated for pulmonary tuberculosis 6 months ago. The review has objectified clinique cyanosis of the lips and extremities with a blood pressure 120/70 mmHg, a heart rate of 70 bats/min, a temperature of 38°C and SaO2 to 82% in the open air. The chest radiograph objectified reticulonodular opacities on the right. The patient was put under bi-broad-spectrum antibiotics. Due to the non improvement of the patient’s state, the search for Pneumocystis jiroveci in induced sputum was made and it was positive. The search for a field of immunosuppression was negative.

Share and Cite:

Amro, L. , Hamzaoui, G. , Sajiai, H. , Serhane, H. and Yazidi, A. (2014) Pneumocystis jiroveci Pneumonia in an Immunocompetent Female Patient. Case Reports in Clinical Medicine, 3, 420-423. doi: 10.4236/crcm.2014.37093.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Guillemot, N., Blanchon, S., Nathan, N., Corvol, H., Fauroux, B., Aubertin, G., Clement, A. and Epaud, R. (2008) Pneumonie à Pneumocystis jiroveci au cours d’une corticothérapie prolongée chez un nourrisson immunocompétent. Revue de Pneumologie Clinique, 64, 225-228.
[2] Opravil, M., Marincek, B., Fuchs, W.A., Weber, R., Speich, R., Battegay, M., Russi, E.W. and Lüthy, R. (1994) Shortcomings of Chest Radiography in Detecting Pneumocystis Carinii Pneumonia. Journal of Acquired Immune Deficiency Syndromes, 7, 39-45.
[3] Riel, A.M., Rakotoarivony, S.T., Fenomanana, J., Raherimalala, A., Raharimanana, R.N. and Andrianjatovo, J.J. (2009) Une observation d’une pneumopathie sévère a Pneumocystis jiroveci chez un sujet immunocompetent. Revue d’anesthésie reanimation, 1, 11-13.
[4] Roux, A., Lemiale, V., Kouatchet, A., Vincent, F., Bollé, G., Roux, P. and Azoulay, E. (2012) Pneumocystose pulmonaire en dehors de l’infection à VIH. Réanimation, 19, 327-338.
[5] Morris, A., Beard, C.B. and Huang, L. (2002) Update on the Epidemiology and Transmission of Pneumocystis carinii. Microbes and Infection, 4, 95-103.
[6] Nejmi, H., Ziati, J., Tijani, A., Charaf, K., Eladib, A.R., Younous, S., Samkaoui, M.A. and Zougari, L. (2010) Pneumopathie à Pneumocystis jiroveci chez une patiente immunocompétente. Médecine et maladies infectieuses, 40, 241-242.
[7] Al Soub, H., Taha, R.Y., El Deeb, Y., Almaslamani, M. and Al Khuwaiter, J.Y. (2004) Pneumocystis carinii Pneumonia in a Patient without a Predisposing Illness: Case Report and Review. Scandinavian Journal of Infectious Diseases, 36, 618-621.
[8] Bollee, G., Sarfati, C., Thiery, G., Bergeron, A., Miranda, S., Menotti, J., Castro, N., Tazi, A., Schlemmer, B. and Azoulay, E. (2007) Clinical Picture of Pneumocystis jiroveci Pneumonia in Cancer Patients. Chest, 132, 1305-1310.
[9] Mayaud, C., Naccache, J.M. and Cadranel, J. (2001) Manifestations respiratoires au cours de l’infection par le virus de l’immunodéficience humaine. Encycl Méd Chir (Editions Scientifiques et Médicales Elsevier SAS, Paris, tous droits réservés), Pneumologie, 6-004-A-40, 11 p.
[10] Girard, P.M., Katlama, C. and Pialoux, G. (2007) VIH édition 2007. Doin Editions.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.