{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:39:15Z","timestamp":1780324755000,"version":"3.54.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"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":[[2025,4]]},"abstract":"<jats:p>\n                    Cytomegalovirus (CMV) pneumonia is an uncommon presentation of CMV among patients with HIV\/AIDS, particularly in co-infection with\n                    <jats:italic>Pneumocystis jirovecii<\/jats:italic>\n                    pneumonia (PCP). A case was reported with a literature review, and a comprehensive literature search was performed using the PubMed\/MEDLINE and Scopus databases. We report a 52-year-old male with AIDS presenting with progressively worsening dyspnea over 1\u00a0week. One month earlier, he had completed a 21-day course of PCP treatment, showed improvement and was discharged. Two weeks before presentation, he started antiretroviral therapy (ART), but his dyspnea worsened significantly 1\u00a0week later. Chest radiography showed bilateral ground glass opacities. Bronchoscopy and lung biopsy revealed nuclear enlargement with prominent intranuclear inclusions and marginated chromatin of alveolar cells on H&amp;E staining, along with positive immunohistochemistry for CMV. Grocott\u2019s methenamine silver staining identified 3\u20135\u00a0\u03bcm irregular yeast-like organisms resembling crushed ping-pong balls, consistent with\n                    <jats:italic>P<\/jats:italic>\n                    .\n                    <jats:italic>jirovecii<\/jats:italic>\n                    . He was treated with intravenous ganciclovir for a total of 21\u00a0days, and his clinical and radiologic findings completely resolved. CMV pneumonia co-infection with PCP is extremely rare and should be considered among patients with severely immunocompromise with interstitial pneumonitis unresponsive to PCP treatment or recurring after treatment.\n                  <\/jats:p>","DOI":"10.1177\/09564624251314567","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T11:59:02Z","timestamp":1737374342000},"page":"416-422","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Pneumocystis jirovecii<\/i>\n                    pneumonia co-infection with cytomegalovirus pneumonia in a patient with acquired immunodeficiency syndrome: A case report and literature review"],"prefix":"10.1177","volume":"36","author":[{"given":"Tanyanop","family":"Techasupaboon","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3486-8591","authenticated-orcid":false,"given":"Worapong","family":"Nasomsong","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/144.1.6"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.97.5.1072"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/ecm1040042"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijstd.IJSTD_70_18"},{"issue":"6","key":"e_1_3_4_6_2","first-page":"402","article-title":"Pneumocystis jirovecii and cytomegalovirus co-infection in AIDS patients","volume":"4","author":"Acar J","year":"2013","unstructured":"Acar J, Torres GR, Sales JWP, et al. Pneumocystis jirovecii and cytomegalovirus co-infection in AIDS patients. J Med Cases 2013; 4(6): 402\u2013406.","journal-title":"J Med Cases"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e31729"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.5603\/PiAP.2014.0060"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.653294"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325957417702488"},{"key":"e_1_3_4_11_2","volume-title":"Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV","author":"HIV PoGftPaToOIiAaAW","year":"2024","unstructured":"HIV PoGftPaToOIiAaAW. Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV. Bethesda, MD: National Institutes of Health, HIV Medicine Association, and Infectious Diseases Society of America, 2024."},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmcr.2019.100945"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-4643-6"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.7860\/jcdr\/2017\/28148.10302"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviromet.2023.114743"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciac892"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-20-1352"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0093702"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199703110-00009"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1010.030994"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/13693780701883722"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1128\/spectrum.04985-22"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251314567","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624251314567","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251314567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:46:22Z","timestamp":1777675582000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624251314567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,20]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/09564624251314567"],"URL":"https:\/\/doi.org\/10.1177\/09564624251314567","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,20]]}}}