Table 2– Common radiographical appearances of pulmonary infections in HIV patients
Chest radiograph or CT abnormalityAcute or subacute onsetChronic onset
Focal consolidationAny organism, but especially pyogenic bacteria
Legionellosis
Mycobacteriosis
Nocardiosis
Fungi (aspergillosis, endemic fungal infections, cryptococcosis)
Diffuse interstitial infiltratePneumocystis jirovecii
Bacteria, especially Haemophilus influenzae
(influenza, CMV)
Mycobacteriosis
Fungal pneumonia, especially cryptococcal
Toxoplasmosis
CMV
NodulesTuberculosis
Fungi (cryptococosis, aspergillosis)
Bacteria
Nocardiosis
Fungi
AdenopathyTuberculosisMycobacteriosis
Endemic fungal infections
Cavitary infiltrateTuberculosis
Staphylococcus aureus (IDU)
Fungi
Anaerobes
Pseudomonas aeruginosa
Legionellosis
Mycobacteriosis
Nocardiosis
Fungi
Rhodococcus equi
Pleural effusionPyogenic bacteria
Fungi
Tuberculosis
Fungi
Nocardiosis
PneumothoraxPneumocystis jirovecii
  • CT: computed tomography; CMV: cytomegalovirus; IDU: intravenous drug users. Patients with acute, subacute or chronic onset have <1 week, 1–4 weeks or >4 weeks of symptoms, respectively.