PCP Pneumonia

RV positive patient since 16 yrs with recent CD 4 of 109 came with :

Fever with chills since 2mts, dry cough since 1 month, reduced appetite  since 1 month and weight loss of 12 kg over past one month. 

The chest x-ray findings were thought to be related to Koch's and he was started on AKT....

There are coarse reticular opacities in bilateral para hilar and para-cardiac region.Few small cysts were seen in the mid zones.

 Lecopenia was seen ( 1782 /cumm)

Bronchoscopy guided bronchial aspirates revealed PCP organisms.