The first report of pneumocystis carini pneumonia in a patient with HIV infection in Kermanshah

Background and Objective : Pneumocystis carini pneumonia  is one of the most important opportunistic infections in patients with HIV/AIDS. Occurrence of this disease reflects   marked immunodeficiency and a CD4 count of less than 200 per microliter of serum.

Case report: A 25 years old HIV positive man was referred to the Sina hospital with aspiration pneumonia following a suicide. Because of severe dyspnea, cyanosis, continuous fever and cough, and lack of response to ordinary treatments, pneumocystis carini pneumonia  was suspected and proved by sputum examination. The patient's condition  improved after 2 weeks of therapy, but soon after discharge, clinical deterioration occurred and the patient died within 24 hours.

Discussion:  The patient's death may be the result of lack of therapeutic compliance by the patient, or concomitant occurrence of other opportunistic infections. Occurrence of  such diseases as pneumocystis carini pneumonia  may sugges begining of a new stage in HIV/AIDS epidemic. In the future, we may see other opportunistic infections and unusual diseases in the HIV/AIDS patients in Kermanshah.