Answer BOF 25

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BOF: 25

A 30-year-old musician presents with a 6-week history of increasing dyspnoea, fevers, cough and weight loss. He has oral candidiasis and facial dermatitis. You suspect Pneumocystis carinii pneumonia (PCP).

What one investigation is most likely to establish this diagnosis?

a)      Thick blood film for pneumocysts

b)      Blood cultures

c)      Induced sputum with direct immunofluorescence

d)      PCP serology

e)      Silver stain of induced sputum

Answer: c)

This is the main standard for diagnosing PCP

Revision Tip

Revise PCP KEYS to SUCCESS in Medicine page 209-210

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