Table 3.
Clinical characteristics of four patients with negative BAL staining and positive NPA PCR for Pneumocystis
Patient no. | Sexh/age (yr) | Underlying disease | Pulmonary radiological appearance | Lymphocyte count (× 109 cells/liter) | Anti-Pneumocystis treatment | Pneumocystis load (copies/ml) |
---|---|---|---|---|---|---|
1 | F/52 | Systemic lupus erythematosus/scleroderma | Patchy ground glass densities and tiny lung nodules at bilateral upper lobesa | 0.53 | Nild | 4.68 × 104 |
2 | M/63 | Immunoblastic T cell lymphoma, receiving chemotherapy | Bilateral symmetrical airspace opacities, particularly at the lower zonesb | 0.83 | Given cotrimoxazole with clinical improvemente | 8.88 × 104 |
3 | F/13 | Juvenile dermatomyositis | Bilateral symmetrical airspace and reticular opacities, predominantly involving perihilar and lower zonesb | 0.88 | Given cotrimoxazole with clinical improvementf | 1.08 × 105 |
4 | F/54 | Lung adenocarcinoma with metastasis to brain, hypertension | Multifocal bilateral patchy consolidation with upper zone predominancec | 0.60 | Nilg | 3.59 × 104 |
Positron emission tomography/computed tomography.
Chest radiograph.
Computed tomography.
Clinically improved after receiving empirical tuberculosis treatment for suspected pulmonary tuberculosis.
Received imipenem-cilastatin and ticarcillin-clavulanate before cotrimoxazole therapy.
Received amoxicillin-clavulanate and azithromycin before cotrimoxazole therapy.
Clinically improved after receiving piperacillin-tazobactam and doxycycline for the treatment of community-acquired pneumonia.
F, female; M, male.