This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: viral infection, Subject name: Medicine
All are seen with Pneumocystis carini in AIDS except: 
Select and explain. 
A. Pneumonia, B. Otic polypoid mass, C. Ophthalmic choroid lesion, D. Meningitis
D: Meningitis
Answer: D: Meningitis 
Explanation: In addition to pneumonia, a number of other clinical problems have been repoed in HIV-infected patients as a result of infection with P. jiroveci as:- Otic involvement may be seen as a primary infection, presenting as a polypoid mass involving the external auditory canal. In patients receiving aerosolized pentamidine for prophylaxis against PCP, one may see a variety of extrapulmonary manifestations of P. jiroveci. These include ophthalmic lesions of the choroid, a necrotizing vasculitis that resembles Buerger's disease, bone marrow hypoplasia, and intestinal obstruction. Other organs that have been involved include lymph nodes, spleen, liver, kidney, pancreas, pericardium, hea, thyroid, and adrenals.