case_images: PMC11420125_01
case_images: Chest computed tomography (CT) images of the patient during treatment. (A) Chest CT showing multiple patchy and striped shadows (red arrows) before treatment with TMP-SMX. (B-D) Chest CT scans conducted at 14 days after treatment with TMP-SMX, 29 days after discharge, and 57 days after discharge, respectively. Multiple patchy and striped shadows were not visible in both lungs after treatment.
case_images: fmed-11-1443645-g001.jpg
case_images: PMC11420125_01_fmed-11-1443645-g001.jpg
case_images: F1
case_images: The chest CT on admission exhibited patchy shadows in both lung fields, and revealed bilateral pneumonia and bilateral pleural effusion (Figure 1A). On July 27, after 14 days of treatment, the patient's condition improved, and a repeat chest CT showed that multiple patchy shadows and stripe shadows in both lungs were obviously absorbed (Figure 1B). A CT scan showed pulmonary inflammation (Figure 1C), and the G test was 242.17 pg/mL . The spot shadow and the cord-like shadow observed in the lower lung in the lung CT scan were approximately of the same size as those noted before (Figure 1D). Figure 1 shows changes in the findings of chest CT scans.
case_images: Changes in the patient's condition at admission and after anti-PJP treatment.
case_images: fmed-11-1443645-g002.jpg
case_images: PMC11420125_01_fmed-11-1443645-g002.jpg
case_images: F2
case_images: Figure 2 shows the treatment process.