Case of organising pneumonia in HIV infection

BMJ Case Rep. 2022 Nov 24;15(11):e250544. doi: 10.1136/bcr-2022-250544.

Abstract

A man in his 50s presented to his doctor with a fever, sore throat, cough, dysgeusia and dyspnoea of several days' duration. Tests for HIV antigen, HIV antibody and HIV PCR were positive. He was referred to our hospital for initiation of antiretroviral therapy and bronchoscopy to clarify the cause of an abnormal lung shadow on chest CT. He was diagnosed with organising pneumonia, with concurrent HIV infection. His pulmonary lesions were remitted spontaneously, and he was administered a fixed-dose combination of tenofovir (50 mg), emtricitabine (200 mg) and bictegravir (25 mg) for HIV. This is a rare report of organising pneumonia with HIV infection. Physicians need to consider organising pneumonia when lung opacity is observed in a patient with HIV infection.

Keywords: HIV / AIDS; interstitial lung disease.

Publication types

  • Case Reports

MeSH terms

  • Cryptogenic Organizing Pneumonia* / drug therapy
  • Emtricitabine / therapeutic use
  • HIV Infections* / complications
  • HIV Infections* / diagnosis
  • HIV Infections* / drug therapy
  • Humans
  • Male
  • Pneumonia* / drug therapy
  • Tenofovir / therapeutic use

Substances

  • Emtricitabine
  • Tenofovir