{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:40:44Z","timestamp":1777927244151,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T00:00:00Z","timestamp":1537401600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>Despite the decline in HIV mortality and morbidity, Pneumocystis jirovecii pneumonia (PJP) is still frequently seen, particularly in patients with a low CD4+ cell count. We present a case series where we analyzed the possible role of lung ultrasound (LUS) in the management of PJP in a real-life clinical setting. We describe the ultrasound findings from a consecutive series of six HIV patients hospitalized for PJP, all with a favorable outcome, and evaluated with LUS at admission in our ward and then repeated this once during the hospitalization. Multiple B lines indicating interstitial syndrome were detected at admission in all cases, with a bilateral asymmetric pattern mostly localized in middle and upper lobes. In the follow-up LUS, we noted a substantially improved pattern in all patients, observing a reduction of B lines which correlated with clinical amelioration. One patient at admission and three patients during the follow-up showed lung consolidations with hyperechoic spots inside, that might be typical of the disease. In conclusion, LUS could be a practical and noninvasive imaging tool for supporting diagnosis and treatment response of PJP.<\/jats:p>","DOI":"10.1177\/0956462418797872","type":"journal-article","created":{"date-parts":[[2018,9,21]],"date-time":"2018-09-21T01:33:45Z","timestamp":1537493625000},"page":"188-193","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Lung ultrasound in the management of pneumocystis pneumonia: A case series"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3879-4128","authenticated-orcid":false,"given":"Silvia","family":"Limonta","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Monge","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9953-6486","authenticated-orcid":false,"given":"Michele","family":"Montuori","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Morosi","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Galli","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Franzetti","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Biomedical and Clinical Sciences, Luigi Sacco Hospital, Universit\u00e0 degli Studi di Milano, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,9,20]]},"reference":[{"key":"bibr1-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200602-015MS"},{"key":"bibr2-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1086\/313843"},{"key":"bibr3-0956462418797872","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-5_Part_2-200209031-00002"},{"key":"bibr4-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1086\/374358"},{"key":"bibr5-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra032588"},{"key":"bibr6-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1378\/chest.91.3.323"},{"key":"bibr7-0956462418797872","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.169.4.9308446"},{"key":"bibr8-0956462418797872","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.162.3.8109494"},{"key":"bibr9-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-002-1641-6"},{"key":"bibr10-0956462418797872","first-page":"345","volume":"31","author":"Fred HL.","year":"2004","journal-title":"Tex Heart Inst J"},{"key":"bibr11-0956462418797872","volume-title":"BEIR (biologic effects of ionizing radiation) Report VII: health risks from exposure to low levels of ionizing radiation","author":"National Research Council of the National Academies","year":"2006"},{"key":"bibr12-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-015-0780-z"},{"key":"bibr13-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.5.1759"},{"key":"bibr14-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.22.1.g02jae1e1"},{"key":"bibr15-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2513-4"},{"key":"bibr16-0956462418797872","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2009.28.2.163"},{"key":"bibr17-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2007.09.014"},{"key":"bibr18-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03760.x"},{"key":"bibr19-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-018-0089-0"},{"key":"bibr20-0956462418797872","doi-asserted-by":"publisher","DOI":"10.5430\/ijdi.v1n1p31"},{"key":"bibr21-0956462418797872","doi-asserted-by":"publisher","DOI":"10.1186\/cc10693"}],"container-title":["International Journal of STD &amp; 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