Persistent hematogenous dissemination in pulmonary P. jiroveci infection
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. W...
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| Veröffentlicht in: | Mycopathologia (1975) 2019-06, Vol.184 (3), p.457-458 |
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| container_title | Mycopathologia (1975) |
| container_volume | 184 |
| creator | Righi, E. La Rosa, A. Sartor, A. Londero, A. Carnelutti, A. Bassetti, M. |
| description | 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. |
| doi_str_mv | 10.1007/s11046-019-00332-z |
| format | Article |
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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.</description><identifier>ISSN: 0301-486X</identifier><identifier>EISSN: 1573-0832</identifier><identifier>DOI: 10.1007/s11046-019-00332-z</identifier><identifier>PMID: 30955129</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Antifungal Agents - administration & dosage ; Biomedical and Life Sciences ; Blood ; Blood - microbiology ; Case reports ; Caspofungin ; Eukaryotic Microbiology ; Fungemia - drug therapy ; Fungemia - microbiology ; Fungemia - pathology ; HIV ; HIV patients ; Human immunodeficiency virus ; Humans ; Infections ; Life Sciences ; Lung nodules ; Male ; Medical Microbiology ; Microbial Ecology ; Microbiology ; Middle Aged ; Mycopathologia IMAGES ; Oocysts ; Patients ; Plant Sciences ; Pneumocystis carinii - isolation & purification ; Pneumocystis jiroveci ; Pneumonia ; Pneumonia, Pneumocystis - complications ; Pneumonia, Pneumocystis - drug therapy ; Pneumonia, Pneumocystis - pathology ; Polymerase Chain Reaction ; Sulfamethoxazole ; Trimethoprim ; Trimethoprim, Sulfamethoxazole Drug Combination - administration & dosage</subject><ispartof>Mycopathologia (1975), 2019-06, Vol.184 (3), p.457-458</ispartof><rights>Springer Nature B.V. 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Mycopathologia is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-da21c3d82f18052dea75a101daa3168fc06d240e65b3199dc44e446c305138503</citedby><orcidid>0000-0001-8718-1200</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11046-019-00332-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11046-019-00332-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30955129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Righi, E.</creatorcontrib><creatorcontrib>La Rosa, A.</creatorcontrib><creatorcontrib>Sartor, A.</creatorcontrib><creatorcontrib>Londero, A.</creatorcontrib><creatorcontrib>Carnelutti, A.</creatorcontrib><creatorcontrib>Bassetti, M.</creatorcontrib><title>Persistent hematogenous dissemination in pulmonary P. jiroveci infection</title><title>Mycopathologia (1975)</title><addtitle>Mycopathologia</addtitle><addtitle>Mycopathologia</addtitle><description>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.</description><subject>Antifungal Agents - administration & dosage</subject><subject>Biomedical and Life Sciences</subject><subject>Blood</subject><subject>Blood - microbiology</subject><subject>Case reports</subject><subject>Caspofungin</subject><subject>Eukaryotic Microbiology</subject><subject>Fungemia - drug therapy</subject><subject>Fungemia - microbiology</subject><subject>Fungemia - pathology</subject><subject>HIV</subject><subject>HIV patients</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Life Sciences</subject><subject>Lung nodules</subject><subject>Male</subject><subject>Medical Microbiology</subject><subject>Microbial Ecology</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Mycopathologia IMAGES</subject><subject>Oocysts</subject><subject>Patients</subject><subject>Plant Sciences</subject><subject>Pneumocystis carinii - isolation & purification</subject><subject>Pneumocystis jiroveci</subject><subject>Pneumonia</subject><subject>Pneumonia, Pneumocystis - complications</subject><subject>Pneumonia, Pneumocystis - drug therapy</subject><subject>Pneumonia, Pneumocystis - pathology</subject><subject>Polymerase Chain Reaction</subject><subject>Sulfamethoxazole</subject><subject>Trimethoprim</subject><subject>Trimethoprim, Sulfamethoxazole Drug Combination - administration & dosage</subject><issn>0301-486X</issn><issn>1573-0832</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1rFEEQhhsxmDX6BzzIgBc9zKaqP-bjGIIxgYAhKnhrOj01ay8z3Wv3jJj8envdaNgg0oeCruct6q2XsVcISwSojxMiyKoEbEsAIXh594QtUNWihEbwp2wBArCUTfX1kD1PaQ2QZVg_Y4cCWqWQtwt2fkUxuTSRn4pvNJoprMiHORWdS4lG583kgi-cLzbzMAZv4m1xtSzWLoYfZF1u9GS3yAt20Jsh0cv7esS-nL3_fHpeXn78cHF6cllaWVdT2RmOVnQN77EBxTsytTII2BkjsGp6C1XHJVClbgS2bWelJCkrK0ChaBSII_Z2N3cTw_eZ0qRHlywNg_GU99acg5KoEEVG3zxC12GOPm-3pSRIhQ0-UCszkM5-whSN3Q7VJ6pFaOq2bTO1_AeVX5ePZIOn3uX_PcG7PUFmJvo5rcyckr74dL3P8h1rY0gpUq830Y351BpBb6PWu6h1jlr_jlrfZdHre3fzzUjdX8mfbDMgdkDKLb-i-GD_P2N_AYUHsTE</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Righi, E.</creator><creator>La Rosa, A.</creator><creator>Sartor, A.</creator><creator>Londero, A.</creator><creator>Carnelutti, A.</creator><creator>Bassetti, M.</creator><general>Springer Netherlands</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8718-1200</orcidid></search><sort><creationdate>20190601</creationdate><title>Persistent hematogenous dissemination in pulmonary P. jiroveci infection</title><author>Righi, E. ; La Rosa, A. ; Sartor, A. ; Londero, A. ; Carnelutti, A. ; Bassetti, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-da21c3d82f18052dea75a101daa3168fc06d240e65b3199dc44e446c305138503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Antifungal Agents - 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Academic</collection><jtitle>Mycopathologia (1975)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Righi, E.</au><au>La Rosa, A.</au><au>Sartor, A.</au><au>Londero, A.</au><au>Carnelutti, A.</au><au>Bassetti, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent hematogenous dissemination in pulmonary P. jiroveci infection</atitle><jtitle>Mycopathologia (1975)</jtitle><stitle>Mycopathologia</stitle><addtitle>Mycopathologia</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>184</volume><issue>3</issue><spage>457</spage><epage>458</epage><pages>457-458</pages><issn>0301-486X</issn><eissn>1573-0832</eissn><abstract>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.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>30955129</pmid><doi>10.1007/s11046-019-00332-z</doi><tpages>2</tpages><orcidid>https://orcid.org/0000-0001-8718-1200</orcidid></addata></record> |
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| ispartof | Mycopathologia (1975), 2019-06, Vol.184 (3), p.457-458 |
| issn | 0301-486X 1573-0832 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Antifungal Agents - administration & dosage Biomedical and Life Sciences Blood Blood - microbiology Case reports Caspofungin Eukaryotic Microbiology Fungemia - drug therapy Fungemia - microbiology Fungemia - pathology HIV HIV patients Human immunodeficiency virus Humans Infections Life Sciences Lung nodules Male Medical Microbiology Microbial Ecology Microbiology Middle Aged Mycopathologia IMAGES Oocysts Patients Plant Sciences Pneumocystis carinii - isolation & purification Pneumocystis jiroveci Pneumonia Pneumonia, Pneumocystis - complications Pneumonia, Pneumocystis - drug therapy Pneumonia, Pneumocystis - pathology Polymerase Chain Reaction Sulfamethoxazole Trimethoprim Trimethoprim, Sulfamethoxazole Drug Combination - administration & dosage |
| title | Persistent hematogenous dissemination in pulmonary P. jiroveci infection |
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