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Clinical features

Authoring team

Pneumocystis carinii (jirovecci) pneumonia starts insidiously with symptoms of:

  • breathlessness - so called silent breathlessness
  • dry cough

There may also be tachypnoea, though chest crackles or other physical signs are rarely present. There may however be other signs of HIV infection such as oral thrush and weight loss.

There is a progressive impairment of gas exchange and cyanosis ultimately develops.

Reference

  1. White PL et al. Diagnosis and management of Pneumocystis jirovecii infection. Expert Rev Anti Infect Ther. 2017 May;15(5):435-447

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