{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:38:10Z","timestamp":1787031490895,"version":"build-2736575974"},"reference-count":6,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,9,1]],"date-time":"2019-09-01T00:00:00Z","timestamp":1567296000000},"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":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Pneumocystis jirovecii (PJ) infection is one of the most common opportunistic infections occurring in patients with HIV\/AIDS and other immunocompromised states. It is not known to cause clinically significant illness in immunocompetent hosts. We report a 48-year-old HIV-negative, diabetic male who presented with fever and adrenal insufficiency. Abdominal sonography and PET-CT revealed bilateral enlarged adrenal glands with peripheral enhancement and central necrosis. An endoscopic ultrasound-guided fine-needle aspiration cytology of the left adrenal gland demonstrated well-defined, round cysts of PJ. There was no evidence of pulmonary involvement. The response to first-line treatment was poor and the patient responded to second-line treatment for Pneumocystis infection.<\/jats:p>","DOI":"10.4997\/jrcpe.2019.310","type":"journal-article","created":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T06:04:11Z","timestamp":1568009051000},"page":"222-224","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["<i>Pneumocystis Jirovecii<\/i>\n                    Infection of Bilateral Adrenal Glands in an Immunocompetent Adult: A Case Report"],"prefix":"10.1177","volume":"49","author":[{"given":"Niharikaa","family":"Sharma","sequence":"first","affiliation":[{"name":"Senior Resident, Department of Medicine, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravinder Singh","family":"Ahlawat","sequence":"additional","affiliation":[{"name":"Director Professor and Head, Department of Medicine, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harpreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandan","family":"Sharma","sequence":"additional","affiliation":[{"name":"Resident, Department of Medicine, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subramanian","family":"Anuradha","sequence":"additional","affiliation":[{"name":"Director Professor, Department of Medicine, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,9,1]]},"reference":[{"key":"bibr1-jrcpe.2019.310","volume-title":"Pneumonia, Pneumocystis (carinii) jirovecii","author":"Truong J","year":"2018"},{"key":"bibr2-jrcpe.2019.310","unstructured":"Bennett NJ. Pneumocystis jiroveci pneumonia (PJP) overview of Pneumocystis jiroveci pneumonia. 2017. http:\/\/emedicine.medscape.com\/article\/225976-overview#aw2aab6b7 (accessed 27\/02\/19)."},{"key":"bibr3-jrcpe.2019.310","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2014.05.013"},{"key":"bibr4-jrcpe.2019.310","doi-asserted-by":"publisher","DOI":"10.1385\/EP:12:1:87"},{"key":"bibr5-jrcpe.2019.310","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.10.3.401"},{"key":"bibr6-jrcpe.2019.310","first-page":"87603","volume":"2014","author":"Upadhyay J","year":"2014","journal-title":"Int J Endocrine"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2019.310","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2019.310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:31:51Z","timestamp":1777617111000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2019.310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.4997\/jrcpe.2019.310"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2019.310","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}