Revista Cubana de Medicina Militar
versión On-line ISSN 1561-3046
ZUNEN HERNANDEZ PUENTES, Yaimara et al. Pneumocystic jirovecii pneumonia. Rev Cub Med Mil [online]. 2010, vol.39, n.2, pp. 169-174. ISSN 1561-3046.
OBJECTIVE: to present the atypical case of a HIV-negative patient, deceased from Pneumocystis jirovecii more frequent in persons infected with the AIDS virus and in those underwent transplantation. DESCRIPTION: a patient with a history of alcoholism, asthma, respiratory symptoms and fever, HIV-negative, with a torpid course deceased at 11 days after admission. Lung: peripheral emphysema, scattered zones of a fleshy red appearance mixed with not much aired zones and impasted. INTERVENTION: a clinical necropsy was carried out where the direct cause of death was from Pneumocystis jirovecii, diagnosed using hematoxylin-esosin stain proving the presence of a characteristic foamy edema. In the silver methenamine stain it was possible to corroborate the presence of the microorganism. CONCLUSIONS: in this case the leading cause of death was Pneumocystis jirovecii pneumonia, an opportunistic pathogen frequently reported a cause of death in HIV-AIDS patients and also in those immunocompromised due to other causes, e.g. those with transplantation.
Palabras llave : Pneumocystis jirovecii; immunocompromised; leading cause of death; intermediate cause of death; direct cause of death.