Table 3. Summary of reported cases of granulomatous Pneumocystis Jirovecii pneumonia (PCP) in solid organ transplanted patients.

Year	Age/Sex	SOT	Granulomatous PCP onset after transplantation	Immunosuppressant	Symptoms	Radiological findings	PCP PCR	Confirmation	Hypercalcemia	Reference
1975	F/37	KT	7 months, rejection, no prophylaxis	Azathioprine, prednisone	Fever, yellow sputum	Patchy interstitial infiltration	Not done	Open lung biopsy, non-caseating epithelioid-cell granuloma, GMS+	Not described	[30]
2014	F/54	KT	2 years	Prednisolone, tacrolimus, MMF	Dry cough, fever	Ground glass opacities	Positive	Transbronchial biopsy granulomatous with exudates, GMS +	Yes	[22]
2019	M/53	KT	13 years, no rejection	Prednisolone, cyclosporine, MMF	Fatigue, dyspnea	Diffuse patchy ground glass and reticular opacities	Negative	Transbronchial biopsy, Granulomatous infiltration and giant cells, GMS +	Yes	[27]
Present case	M/60	KT	24 years, rejection	Tacrolimus, sirolimus, deflazacort	Sore throat	Multiple nodules	Positive	Open lung biopsy, Granuloma with necrosis, GMS +	No

SOT, solid organ transplant; PCR, polymerase chain reaction; bronchoalveolar lavage; F, female; KT, kidney transplantation; GMS, Gomori methenamine silver stain; M, male; MMF, mycophenolic acid.