Table 2.
Patterns | Case Classification | P. jirovecii Load (PCR) | Clinical Course | Radiographic Characteristics |
---|---|---|---|---|
Airway colonization | Blaize et al. [54] Alanio et al. [34] |
<1000 copies/mL | Typical course of COVID-19 | Similar to COVID-19 Grand-glass opacity |
Superinfection | Gerber et al. [40] Gentile et al. [42] Cai et al. [43] Viceconte et al. [46] Peng et al. [48] Mouren et al. [49] Merchant EA et al. [53] Case 1 and 2 in our institution |
>1000 copies/mL | Biphasic illness. The first phase is related to COVID-19, followed by clinical improvement. Subsequently, the second phase of respiratory illness (PJP) starts days or weeks later. |
Similar to COVID-19 Diffuse, bilateral, interstitial infiltrates Grand-glass opacity Cysts, lobar infiltrates Solitary or multiple nodules |
Coinfection | Menon et al. [35] Mang et al. [36] Coleman et al. [37] Bhat et al. [38] De Franceso et al. [39] Kronsten VT et al. [41] Broadhurst et al. [44] Jeican et al. [30] Rubiano et al. [45] Larzábal et al. [47] Anggraeni et al. [51] Cases 3 in our institution |
>1000 copies/mL | Progressive disease and severe illness despite treatment for COVID-19. Admission to ICU and IMV may be required. |
Similar to COVID-19 Grand-glass opacity Lobar or segmental infiltrates Cysts, nodules, effusion data |