CRJ Canadian Respiratory Journal 1198-2241 Pulsus Group Inc 539528 10.1155/2011/539528 Case Report Granulomatous Pneumocystis Jiroveci Pneumonia Associated with Immune Reconstituted HIV Sabur Natasha F 1 Kelly Margaret M 2 Gill M John 1 Ainslie Martha D 3 Pendharkar Sachin R pendharkar.sachin@gmail.com 1 1 Department of Medicine University of Calgary Calgary Alberta Canada ucalgary.ca 2 Department of Pathology and Laboratory Medicine University of Calgary Calgary Alberta Canada ucalgary.ca 3 Department of Respirology University of Manitoba Winnipeg Manitoba Canada umanitoba.ca 2011 18 6 e86 e88 2011 Copyright © 2011 Hindawi Publishing Corporation. This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.

Pneumocystis jiroveci pneumonia uncommonly presents with pulmonary nodules and granulomatous inflammation. An unusual case of granulomatous P jiroveci pneumonia in an HIV patient with a CD4+ lymphocyte count of greater than 200 cells/mm3, occurring in the context of immune reconstitution with highly active antiretroviral therapy, is described. The case highlights the importance of establishing this diagnosis to institute appropriate therapy.

 HIV/AIDS Immune reconstitution disease Multiple pulmonary nodules Pneumocystis jiroveci