AUTHOR=Yan Jun , Zhang Binhai , Zhang Zhongdong , Shi Jinchuan , Liu Shourong , Qi Jianjiang , Wang Mengyan 

TITLE=Case Report: Tropheryma whipplei Hide in an AIDS Patient With Pneumocystis Pneumonia

JOURNAL=Frontiers in Public Health

VOLUME=Volume 9 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.663093

DOI=10.3389/fpubh.2021.663093

ISSN=2296-2565

ABSTRACT=Introduction: Pneumocystis pneumonia (PCP) is one of the most common opportunistic infections in HIV-infected patients. However, co-infection with Tropheryma whipplei is rare in AIDS patients with Pneumocystis pneumonia. 
Case presentation: We report a 28-year-old male AIDS patient co-infection with Tropheryma whipplei and Pneumocystis jirovecii diagnosed in bronchoalveolar lavage (BAL). After sulfamethoxazole-trimethoprim and meropenem treatment, the patient obtained obviously clinical improvement in two weeks. 
Conclusions: Clinicians need to be alert to the occurrence of Tropheryma whipplei infection in AIDS patients with Pneumocystis pneumonia and timely diagnosis and antibacterial treatments are essential.