Persistent hematogenous dissemination in pulmonary P. jiroveci infection.
Elda RighiA La RosaA SartorA LonderoA CarneluttiM BassettiPublished in: Mycopathologia (2019)
Pneumocystis jiroveci pneumonia in non-HIV patients is infrequent and characterized by atypical presentations and increased severity. Although hematogenous dissemination from the lungs can lead to extrapulmonary infections, isolation of oocysts from blood in human subjects has not been documented. We report a case of P. jiroveci pneumonia with persistent isolation of oocysts from blood and positivity of P. jiroveci polymerase chain reaction. The patient presented with bilateral diffuse pulmonary nodules and received prolonged treatment with trimethoprim/sulfamethoxazole.
Keyphrases
- pulmonary hypertension
- end stage renal disease
- ejection fraction
- newly diagnosed
- case report
- endothelial cells
- antiretroviral therapy
- hiv infected
- hiv positive
- prognostic factors
- hepatitis c virus
- peritoneal dialysis
- hiv aids
- low grade
- hiv testing
- patient reported outcomes
- men who have sex with men
- induced pluripotent stem cells
- patient reported
- wastewater treatment
- antibiotic resistance genes