An interesting cause of fever with acute respiratory distress syndrome

Abstract

Fever with Acute respiratory distress syndrome ARDS is a common emergency presentation seen in tropical countries like India Aetiology of ARDS varies depending on regional prevalence environmental factors and host factors like immunosuppression Immunosuppression increases the hosts rsquo susceptibility to opportunistic infections like Pneumocystis jiroveci pneumonia PJP We report a year old HIV negative boy who presented with fever with ARDS was diagnosed with PJP and had a CD count of cells mm The patient rsquo s CD count was found to be low on repeat measurement with a normal hematological profile bone marrow evaluation along with a repeat ELISA negative for HIV Hence the diagnosis of Idiopathic CD lymphocytopenia a rare clinical condition was made