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https://www.readbyqxmd.com/read/28074607/the-use-of-intravenous-pentamidine-for-the-prophylaxis-of-pneumocystis-pneumonia-in-pediatric-patients
#1
Matthijs D Kruizinga, Dorine Bresters, Frans J Smiers, Arjan C Lankester, Robbert G M Bredius
Pneumocystis jiroveci pneumonia was common in the immunocompromised host before the widespread use of prophylaxis. When trimethoprim-sulfamethoxazole is not tolerated, prophylaxis with intravenous pentamidine (IVP) may be initiated. We performed a retrospective analysis of all pediatric patients who received IVP regarding efficacy, safety, and reason for initiation. Of 106 patients included in our analysis, one patient tested positive for Pneumocystis DNA. Adverse events were reported in 18% of IVP courses, and main reason for initiation was cytopenia (59%)...
January 11, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/28043526/hiv-and-tuberculosis-trends-and-survival-of-coinfection-in-a-referral-center-in-tehran-a-12-year-study
#2
Parvaneh Baghaei, Payam Tabarsi, Syna Jabehdari, Majid Marjani, Afshin Moniri, Parissa Farnia, Ali Akbar Velayati
OBJECTIVE/BACKGROUND: The risk of mortality and morbidity among tuberculosis (TB) and human immunodeficiency virus (HIV) coinfected patients is significantly higher than that of patients infected with TB alone. The aim of this study was to evaluate the survival of TB-HIV patients in a TB-referral center during a 10-year follow-up. METHODS: All TB-HIV patients in our referral center were enrolled in the study from 2003 to 2014, and patients were divided into two groups: HIV-TB patients without a history of TB treatment (new cases of TB) and HIV-TB patients with a history of TB treatment...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28005039/-intrauterine-pneumocystis-infection
#3
E R Samitova, T N Ermak, I E Koltunov, A N Kislyakov, N V Karazhas, T N Rybalkina, M Yu Kornienko
Pneumocystosis is well known as an opportunistic infection that is presently most frequently registered in patients with HIV infection and in those with other immunodeficiency states. Earlier, after the Second World War, Pneumocystis pneumonia was most commonly detected in debilitated and premature children; nosocomial outbreaks of pneumocystosis were studied in detail in the 1960s and 1970s. The pathogen is transmitted through the air, but a number of references indicate that it can be transmitted through the placenta...
2016: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/27920001/a-case-report-of-pneumocystis-jiroveci-pneumonia-in-a-patient-with-metastatic-breast-cancer
#4
Abhijit Ray, Brian Khong, Hung T Khong
We describe a 69-year-old woman with metastatic breast cancer who developed dyspnea on exertion, persistent cough, fever and fatigue while on everolimus and exemestane combination. The initial differentials included opportunistic infection such as pneumocystis jiroveci pneumonia (PJP) vs. pneumonitis. Bronchoalveolar lavage (BAL) from bronchoscopy revealed PJP. The patient recovered after appropriate treatment. We also correlated the progressive decrease in her absolute lymphocyte count with PJP infection and recovery...
2016: Anticancer Research
https://www.readbyqxmd.com/read/27919207/safety-and-effectiveness-of-24-week-treatment-with-iguratimod-a-new-oral-disease-modifying-antirheumatic-drug-for-patients-with-rheumatoid-arthritis-interim-analysis-of-a-post-marketing-surveillance-study-of-2679-patients-in-japan
#5
Tsuneyo Mimori, Masayoshi Harigai, Tatsuya Atsumi, Takao Fujii, Masataka Kuwana, Hiroaki Matsuno, Shigeki Momohara, Syuji Takei, Naoto Tamura, Yoshinari Takasaki, Satoshi Ikeuchi, Satoru Kushimoto, Takao Koike
OBJECTIVE: To determine the real-world safety and effectiveness of iguratimod (IGU) for rheumatoid arthritis (RA), a 52-week, Japanese, post-marketing surveillance study was conducted. An interim analysis at week 24 was performed. METHODS: This study included all RA patients who received IGU following its introduction to the market. All adverse events (AEs) and adverse drug reactions (ADRs) were collected. Effectiveness was evaluated by the change in Disease Activity Score 28-C-reactive protein (DAS28-CRP) from baseline to week 24...
December 21, 2016: Modern Rheumatology
https://www.readbyqxmd.com/read/27854149/dissemination-of-trimethoprim-sulfamethoxazole-drug-resistance-genes-associated-with-class-1-and-class-2-integrons-among-gram-negative-bacteria-from-hiv-patients-in-south-india
#6
Marimuthu Ragavan Ramesh Kumar, Narasingam Arunagirinathan, Seetharaman Srivani, Aridoss Dhanasezhian, Nallusamy Vijaykanth, Natesan Manikandan, Sethuramalingam Balakrishnan, Ramachandran Vignesh, Pachamuthu Balakrishnan, Suniti Solomon, Sunil S Solomon
The antibiotic, trimethoprim-sulfamethoxazole (TMP-SMX), is generally used for prophylaxis in HIV individuals to protect them from Pneumocystis jiroveci infection. Long-term use of TMP-SMX develops drug resistance among bacteria in HIV patients. The study was aimed to detect the TMP-SMX resistance genes among gram-negative bacteria from HIV patients. TMP-SMX-resistant isolates were detected by the Kirby-Bauer disc diffusion method. While TMP resistance genes such as dfrA1, dfrA5, dfrA7, and dfrA17 and SMX resistance genes such as sul1 and sul2 were detected by multiplex PCR, class 1 and class 2 integrons were detected by standard monoplex PCR...
November 17, 2016: Microbial Drug Resistance: MDR: Mechanisms, Epidemiology, and Disease
https://www.readbyqxmd.com/read/27784445/-clinical-features-of-acute-respiratory-failure-due-to-pneumocystis-pneumonia-in-non-hiv-immunocompromised-patients
#7
X Huang, L Weng, L Yi, M Li, Y Y Feng, Y Tian, J G Xia, Q Y Zhan, B Du
Objective: To examine the clinical features of patients with acute respiratory failure (ARF) caused by pneumocystis pneumonia (PCP) admitted into two medical intensive care units (ICU) in non- human immunodeficiency virus (HIV) infected immunocompromised patients. Methods: A retrospective review was conducted among 92 non-HIV patients with ARF caused by PCP in medical ICU of Peking Union Medical College Hospital and China-Japan Friendship Hospital between Jan 2010 and Dec 2015. Patient characteristics, clinical presentation, laboratory and radiological findings, complications, as well as therapy and mortality were included in the analysis...
October 18, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27686235/prognostic-factors-for-severe-pneumocystis-jiroveci-pneumonia-of-non-hiv-patients-in-intensive-care-unit-a-bicentric-retrospective-study
#8
Li Weng, Xu Huang, Lie Chen, Li-Qin Feng, Wei Jiang, Xiao-Yun Hu, Jin-Min Peng, Chun-Yao Wang, Qing-Yuan Zhan, Bin Du
BACKGROUND: Pneumocystis jiroveci pneumonia (PJP) in non-HIV patients is still a challenge for intensivists. The aim of our study was to evaluate mortality predictors of PJP patients requiring Intensive care unit (ICU) admission. METHODS: Retrospectively review medical records of patients with diagnosis of PJP admitted to four ICUs of two academic medical centers from October 2012 to October 2015. RESULTS: Eighty-two patients were enrolled in the study...
September 29, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27629868/prescription-of-pneumocystis-jiroveci-pneumonia-prophylaxis-in-hiv-infected-patients
#9
Xia Lin, Shikha Garg, Christine L Mattson, Qingwei Luo, Jacek Skarbinski
The US treatment guidelines recommend Pneumocystis jiroveci pneumonia (PCP) prophylaxis for all HIV-infected persons with a CD4 count <200 cells/mm(3) (ie, eligible for PCP prophylaxis). However, some studies suggest PCP prophylaxis may be unnecessary in virally suppressed patients. Using national data of HIV-infected adults receiving medical care in the United States during 2009 to 2012, the authors assessed the weighted percentage of eligible patients who were prescribed PCP prophylaxis and the independent association between PCP prophylaxis prescription and viral suppression...
September 14, 2016: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27559122/incidence-of-aids-defining-opportunistic-infections-in-a-multicohort-analysis-of-hiv-infected-persons-in-the-united-states-and-canada-2000-2010
#10
Kate Buchacz, Bryan Lau, Yuezhou Jing, Ronald Bosch, Alison G Abraham, M John Gill, Michael J Silverberg, James J Goedert, Timothy R Sterling, Keri N Althoff, Jeffrey N Martin, Greer Burkholder, Neel Gandhi, Hasina Samji, Pragna Patel, Anita Rachlis, Jennifer E Thorne, Sonia Napravnik, Keith Henry, Angel Mayor, Kelly Gebo, Stephen J Gange, Richard D Moore, John T Brooks
BACKGROUND: There are few recent data on the rates of AIDS-defining opportunistic infections (OIs) among human immunodeficiency virus (HIV)-infected patients in care in the United States and Canada. METHODS: We studied HIV-infected participants in 16 cohorts in the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) during 2000-2010. After excluding 16 737 (21%) with any AIDS-defining clinical events documented before NA-ACCORD enrollment, we analyzed incident OIs among the remaining 63 541 persons, most of whom received antiretroviral therapy during the observation...
September 15, 2016: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27405134/cd4-lymphocytopenia-without-hiv-infection
#11
Naporn Khamanarong, Somchai Insiripong
The CD4 lymphocytes are an important part of the immune system. Besides HIV Infection, other conditions can cause a low CD4 count. We report the case of a 82-year-old female who presented with a markedly low CD4 count during a severe lower respiratory tract infection and respiratory failure without HIV infection. The total lymphocyte and the absolute CD4 counts are 255/mm³ and 109/mm³, respectively. Sputum and bronchial lavage fluid were both negative for acid-fast bacilli. The anti-HIV antibody test was negative...
May 2016: Southeast Asian Journal of Tropical Medicine and Public Health
https://www.readbyqxmd.com/read/27403180/mixed-pulmonary-infection-with-penicillium-notatum-and-pneumocystis-jiroveci-in-a-patient-with-acute-myeloid-leukemia
#12
Shervin Shokouhi, Shabnam Tehrani, Marjan Hemmatian
UNLABELLED: Penicillium notatum is a fungus that widely exists in the environment and is often non-pathogenic to humans. However, in immunocompromised hosts it may be recognized as a cause of systemic mycosis. A 44-year-old man with acute myeloid leukemia (AML) was admitted to our hospital with fever and neutropenia. Due to no improvement after initial treatment, he underwent bronchoscopy. The patient was found to have P. notatum and Pneumocystis jiroveci infection, and therefore was given voriconazole, primaquine and clindamycin...
2016: Tanaffos
https://www.readbyqxmd.com/read/27390465/clinically-hiv-but-negative-serology-think-of-idiopathic-cd4-lymphocytopenia
#13
Vidya Sanjay Nagar, Rahul Kadu, Shamshersingh Gajendra Chauhan, Rudrarpan Chatterjee, Aniruddha Kaushik, Deniskumar Vashrambhai Patel, Ankita Sood
idiopathic CD4(+) lymphocytopenia (ICL) is a rare disorder characterized by the presence of depleted CD4 cell line without the presence of HIV infection. Slight male preponderance is noticed and is usually seen in the middle age group. Opportunistic infections are the reason for their discovery and here we describe a case where a man was diagnosed as having Pneumocystis jiroveci pneumonia and oral candidiasis.
June 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27389385/radiology-of-the-month-spontaneous-bilateral-pneumothoraces-in-an-hiv-infected-patient
#14
Megan Curtis, Anish Patel, Kyle Degeyter, Harold Neitzschman
A 36-year-old woman with past medical history of HIV/AIDS not on HAART therapy (CD4 count of 34) and recurrent Pneumocystis jiroveci pneumonia presented to the emergency room for cough, chest pain, and worsening shortness of breath over the past 72 hours.
May 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27322715/prophylactic-trimethoprim-sulfamethoxazole-does-not-affect-pharmacokinetics-or-pharmacodynamics-of-methotrexate
#15
Courtney S Watts, Joseph N Sciasci, Jennifer L Pauley, John C Panetta, Deqing Pei, Cheng Cheng, Caroline M Christensen, Torben S Mikkelsen, Ching-Hon Pui, Sima Jeha, Mary V Relling
Trimethoprim-sulfamethoxazole (TMP/SMX) is used as prophylaxis against Pneumocystis jiroveci during chemotherapy. Many groups recommend withholding TMP/SMX during high-dose methotrexate (HDMTX) for concerns that it will delay methotrexate clearance. We compared methotrexate exposure following HDMTX (NCT00549848) in 424 patients including 783 courses that were given concurrently and 602 courses that were not given concurrently with TMP/SMX. Among 176 patients (555 courses) on the low-risk arm (HDMTX=2.5 g/m/24 h), there was no difference in clearance (110...
August 2016: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/27261512/radiological-presentation-of-pneumocystis-jiroveci-pneumonia-mimicking-bacterial-pneumonia
#16
Bruno Langevin, Mohamed Saleh
No abstract text is available yet for this article.
June 3, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27214074/iv-pentamidine-for-pneumocystis-jiroveci-pneumonia-prophylaxis-in-pediatric-allogeneic-stem-cell-transplant-patients
#17
D A Curi, R E Duerst, C Badke, J Bell, S Chaudhury, M Kletzel, J Schneiderman, W T Tse, W J Muller, N Hijiya
No abstract text is available yet for this article.
May 23, 2016: Bone Marrow Transplantation
https://www.readbyqxmd.com/read/27180915/cystic-lung-diseases-algorithmic-approach
#18
REVIEW
Suhail Raoof, Praveen Bondalapati, Ravikanth Vydyula, Jay H Ryu, Nishant Gupta, Sabiha Raoof, Jeff Galvin, Mark J Rosen, David Lynch, William Travis, Sanjeev Mehta, Richard Lazzaro, David Naidich
Cysts are commonly seen on CT scans of the lungs, and diagnosis can be challenging. Clinical and radiographic features combined with a multidisciplinary approach may help differentiate among various disease entities, allowing correct diagnosis. It is important to distinguish cysts from cavities because they each have distinct etiologies and associated clinical disorders. Conditions such as emphysema, and cystic bronchiectasis may also mimic cystic disease. A simplified classification of cysts is proposed. Cysts can occur in greater profusion in the subpleural areas, when they typically represent paraseptal emphysema, bullae, or honeycombing...
October 2016: Chest
https://www.readbyqxmd.com/read/27104194/a-case-of-pneumocystis-jiroveci-pneumonia-after-bendamustine-based-chemotherapy-for-refractory-diffuse-large-b-cell-lymphoma
#19
Jeonghoon Ha, Yunhwa Jung, Yunduk Jung, Sanbin Lee, Yoonseo Lee, Insook Woo
No abstract text is available yet for this article.
March 2016: Blood Research
https://www.readbyqxmd.com/read/27034565/pneumomediastinum-pneumorrhachis-and-subcutaneous-emphysema-in-pneumocystis-jiroveci-pneumonia-in-aids
#20
Nasir Saleem, Sanober Parveen, Chibuzo Odigwe, Nkemakolam Iroegbu
Pneumomediastinum, the presence of free air within the mediastinal cavity, is sometimes accompanied by subcutaneous emphysema and pneumorrhachis (air within the spinal canal). We report the case of a 28-year-old man with previously undiagnosed HIV who was diagnosed with extensive pneumomediastinum, pneumorrhachis, and subcutaneous emphysema secondary to Pneumocystis jiroveci pneumonia after presenting with chest pain, dyspnea, and central cyanosis. Surgical consultation was requested, but a conservative approach of observation proved sufficient as the free air was resorbed into the surrounding tissues...
April 2016: Proceedings of the Baylor University Medical Center
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