The crucial role of molecular testing to facilitate the diagnosis of pneumocystis pneumonia during pregnancy.
Malays J Pathol
; 40(1): 69-72, 2018 Apr.
Article
em En
| MEDLINE
| ID: mdl-29704387
ABSTRACT
Pneumocystis pneumonia is an important human immunodeficiency virus (HIV)-associated opportunistic infection, and especially so in pregnant HIV-positive patients. We report a case of a 40-year-old woman in her first trimester of pregnancy who initially presented with acute gastroenteritis symptoms but due to a history of high-risk behaviour and the observation of oral thrush, she was worked up for HIV infection. Her retroviral status was positive and her CD4+ T cell count was only 8 cells/µL. She was also worked up for pneumocystis pneumonia due to the presence of mild resting tachypnoea and a notable drop in oxygen saturation (from 100% to 88%) following brief ambulation. Her chest radiograph revealed bilaterally symmetrical lower zone reticular opacities and Giemsa staining of her bronchoalveolar lavage (BAL) was negative for Pneumocystis jirovecii cysts. However, real-time P. jirovecii polymerase chain reaction (PCR) testing on the same BAL specimen revealed the presence of the organism. A course of oral co-trimoxazole plus prednisolone was commenced and her clinical condition improved.
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Base de dados:
MEDLINE
Assunto principal:
Pneumonia por Pneumocystis
/
Complicações Infecciosas na Gravidez
/
Infecções por HIV
/
Hospedeiro Imunocomprometido
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
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Female
/
Humans
/
Pregnancy
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article