Pneumocystis jirovecii pneumonia in AIDS patient with atypical lung ct images：a case report

We report a case of AIDS complicated with cytomegalovirus retinitis whose lung CT screening revealed multiple small nodules and patchy shadow lesions mainly in the peripheral of both lungs. The treatment against bacteria and aspergillus was ineffective. Finally, we performed a lung biopsy on the patient and both the pathology and NGS confirmed it as Pneumocystis jirovecii pneumonia. This case reminds clinicians to pay attention to the atypical manifestations of common diseases to avoid misdiagnosis and missed diagnoses.