Table 2. Outcomes in 95 episodes of suspected Pneumocystis pneumonia (PcP), Malawi, 2002–2004*.
Final diagnosis† | Clinical diagnosis‡ | No. episodes | IF | PCR | Follow-up data |
---|---|---|---|---|---|
Confirmed PcP | PcP | 2 | Pos | Pos | – |
Confirmed PcP | PcP | 1 | Neg | Pos | – |
Confirmed PcP | PcP | 1 | – | – | Death after 2 wk of PcP treatment (IS not done due to respiratory distress) |
Confirmed PcP | Bronchiectasies | 1 | Neg | Pos | Death 1 wk after IS |
Confirmed PcP | Tuberculosis | 1 | Neg | Pos | Improvement but short follow-up (2 wk) |
Pneumocystis colonization/pulmonary KS | Pulmonary KS | 3§ | Neg | Pos | Death 23 wk after first IS |
Pneumocystis colonization/tuberculosis | Tuberculosis | 3 | Neg | Pos | Recovery |
Pneumocystis colonization/bacterial pneumonia | Bacterial pneumonia | 2 | Neg | Pos | Recovery |
Pneumocystis colonization/unspecified respiratory illness | Unspecified respiratory illness | 2 | Neg | Pos | Recovery |
Pneumocystis colonization/other diagnosis | Other diagnosis¶ | 1 | Neg | Pos | Recovery |
Unspecified respiratory illness | PcP | 3 | Neg | Neg | – |
Tuberculosis | Tuberculosis | 19 | Neg | Neg | – |
Bacterial pneumonia | Bacterial pneumonia | 10 | Neg | Neg | – |
Unspecified respiratory illness | Unspecified respiratory illness | 20 | Neg | Neg | – |
Unspecified respiratory illness | Unspecified respiratory illness | 1 | Neg | NA | Recovery (18 wk follow-up) |
Other diagnoses¶ | Other diagnoses¶ | 24 | Neg | Neg | – |
Other diagnosis¶ | Other diagnosis¶ | 1 | Neg | NA | Recovery (>1 y follow-up) |
*IF, immunofluorescence stain; pos, positive; neg, negative; IS, induced sputum procedure; KS, Kaposi sarcoma. †Diagnosis based on clinical evidence, IF, and PCR from an IS sample, and follow-up after episode. ‡Diagnosis based on clinical evidence and IF from an IS sample. §Three episodes occurring in 1 person. ¶Among other diagnoses were sepsis, bronchitis, emphysema, pulmonary KS, and bronchiectasis.