Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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CT Findings of Granulomatous Pneumocystis jiroveci Pneumonia in a Patient with Multiple Myeloma

다발성 골수종 환자에서 발생한 육아종성 폐포자충 폐렴의 컴퓨터단층촬영 소견

  • So Ra Shin (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Tae Sung Kim (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Joungho Han (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 신소라 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 김태성 (성균관대학교 의과대학 삼성서울병원 영상의학과) ;
  • 한정호 (성균관대학교 의과대학 삼성서울병원 병리과)
  • Received : 2021.03.10
  • Accepted : 2021.04.17
  • Published : 2022.01.01
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Abstract

Although the typical CT findings of Pneumocystis jiroveci pneumonia (PJP) include diffuse or multifocal areas of ground-glass opacities in both lungs, it can also rarely manifest as multiple pulmonary nodules. We report a rare case of atypical PJP in an immunocompromised patient with multiple myeloma, presenting as widespread ground-glass opacities and multiple necrotic subpleural nodules in both lungs on CT, which proved to be granulomatous PJP on percutaneous transthoracic needle biopsy.

폐포자충 폐렴의 전형적인 전산화단층촬영 소견은 양측 폐에 미만성 혹은 다발성의 간유리 음영으로 잘 알려져 있지만, 드물게 다발성 폐 결절 형태로 나타날 수도 있다. 본 저자들은 다발성 골수종 치료로 인해 면역력이 저하된 환자의 양측 폐에 생긴 광범위한 간유리음영 및 이와 동반된 다발성 괴사성 늑막하 결절들이 경피적 폐생검을 통해 육아종성 폐포자충 폐렴으로 확진된 증례를 보고한다.

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References

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