How is pneumocystic jiroveci in HIV infection diagnosed?

Updated: Jul 21, 2021
  • Author: Luca Rosignoli, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Diagnosis of systemic P. jirovecii infection relies on induced sputum or bronchioalveolar lavage. Use of aerosolized pentamidine should be noted. Diagnosis of P. jirovecii choroiditis relies on the identification of multiple choroidal lesions in setting of positive sputum studies. Fluorescein angiography can be used to better characterize the choroidal lesions, which show early hypofluorescence and late hyperfluorescence.


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