Chest radiograph showing extensive bilateral interstitial infiltrates with ground glass shadowing. Chest radiograph showing extensive bilateral interstitial.

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Presentation transcript:

Chest radiograph showing extensive bilateral interstitial infiltrates with ground glass shadowing. Chest radiograph showing extensive bilateral interstitial infiltrates with ground glass shadowing. Black African HIV positive male, CD4 count 200 cells ×106/l, presented with 2 months of increasing dyspnoea, non-productive cough, and fever. Thought initially to have Pneumocystis carinii pneumonia but bronchoscopy negative and patient failed to respond to high dose co-trimoxazole. Open lung biopsy revealed lymphocytic interstitial pneumonitis. S Das, and R F Miller Sex Transm Infect 2003;79:88-93 ©2003 by BMJ Publishing Group Ltd