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A 67 years old gentleman presented with shortness of breath, fever and cough. Baseline imaging and routine bloods were consistent with respiratory tract infection. He was treated on the lines of COVID-19 infection, but he was clinically and radiologically deteriorating and was eventually intubated. Upon clinical suspicion and repeated COVID-19 negative swabs, treatment for pneumocystis jirovecii was initiated and there was an excellent clinical improvement. The patient was extubated and was subsequently weaned off oxygen, HIV was negative, sputum and PCR showed pneumocystis jirovecii pneumonia.