A Rare Presentation of Synchronous Pneumocystis Pneumonia and Cutaneous Nocardiosis on ¹⁸F-FDG PET/CT

Excerpt

A 47-year-old woman, known case of HIV AIDS (Human immunodeficiency virus, acquired immunodeficiency syndrome) and HCV (Hepatitis C virus), presented with low-grade intermittent fever for 3 months and dyspnea for 10 days, with multiple subcutaneous swellings. Her CD4 count was 11 cells/ mm³ (normal values 500–1500 cells/ mm³) with an elevated LDH of 349 U/L (140–280) and CRP 107.2 mg/l (8.0–10 mg/l). Skin examination revealed multiple red-coloured, tender, and fluctuant subcutaneous swellings over the groin, neck, left breast (Fig. 1a), left abdominal wall (Fig. 1b), and axillary regions. Her contrast-enhanced CT chest revealed multiple subcentimetric to enlarged parenchymal and subpleural nodules with septal thickening in the bilateral lung fields. …