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. 2023 Jan 27;10(2):ofad043. doi: 10.1093/ofid/ofad043

Table 2.

Summary of Presented Cases at Time of PCP diagnosis

Patients 1 2 3 4 5 6 Median [IQR] or No. (%)
Demographics Age, y 84 49 58 61 69 66 63.5 [58–69]
Sex Female Female Male Female Male Male 3/6 (50) female
Mortality at hospital dischargea Living Deceased Living Living Living Living 1/6 (16.7) deceased
COVID-19 Risk factors at PCP diagnosis HTN, CAD, asthma, IgM deficiency DM2, HTN, CAD, obese, S/P SOT (tacrolimus, corticosteroids, mycophenolate) MM II, S/P ASCT long-term corticosteroids CKD, DLBL IV Obese, methotrexate for RA HTN 5/6 (83.3) had PCP risk factors before COVID-19
Treatment Remdesivir, dexamethasone Remdesivir, dexamethasone Remdesivir, dexamethasone, bamlanivimab-etesevimab Dexamethasone, baricitinib, casirivimab- imdevimab Remdesivir, CP, dexamethasone Remdesivir, dexamethasone
Prednisone-equivalent steroid administration,b mg 400  660 + 5 daily for SOT 240 + 130 weekly for MM/ASCT 1310 400 930 530 [400–930]
Pneumocystis Status Probable Probable Probable Probable Probable Probable 6/6 (100)
Diagnosis method BAL PCR, β−D-Glucan β−D-Glucan, LDH, clinical picture BAL PCR, β−D-Glucan BAL PCR, β−D-Glucan Sputum PCR, clinical picture BAL PCR, β−D-Glucan
Risk factors at PCP diagnosis Corticosteroids Immune compromised, corticosteroids Immune compromised, corticosteroids, Immune compromised, corticosteroids Immune compromised, corticosteroids Corticosteroids 6/6 (100) corticosteroids
Treatment TMP-SMX, then atovaquone TMP-SMX TMP-SMX, then atovaquone, prednisone TMP-SMX, prednisone TMP-SMX, then atovaquone TMP-SMX, then atovaquone, prednisone
Time of PCP diagnosis, d from COVID-19 diagnosis 39 19 58 199 16 43 41 [19–58]
Laboratory findings β−D-Glucan [<80], pg/mL 191  137 >500  >500  31 292 241.5 [137–>500]
LDH [91–180], units/L 303  536  204 320  398 428 359 [303–428]
ALC [1.0–4.8], K/mm3 0.54 1.56 0.61  0.64  0.97 0.64 [0.58–1.27]
CD4 count [>200], cells/mm3 34 243 382 56 200 [56–382] 
Lowest PaO2,  mmHg 78 45 72 52 58 45 55 [45–72]
Imagining findings CT chest Bilateral infiltrates and diffuse ground glass opacitiesc Bilateral nodules and diffuse ground glass opacities Diffuse ground glass opacities with new, focal nodular opacities Diffuse ground glass opacities New peripheral infiltrates Diffuse ground glass opacities and prominent mediastinal lymph nodes
Hospital stay ICU stay Yes Yes No Yes Yes No 4/6 (66.7) ICU admission
ICU days 10 13 N/A 27 7 N/A 10 [4.5–20]
Mechanical ventilation Yes Yes No Yes No No 3/6 (50) MV

Roman numerals indicate stage of malignancy.

Abbreviations: ALC, absolute lymphocyte count; ASCT, autologous hematopoietic stem cell transplant; BAL, bronchoalveolar lavage; CAD, coronary artery disease; CKD, chronic kidney disease; CP, convalescent plasma; CT, computed tomography; DLBL, diffuse large B-cell lymphoma; DM2, type 2 diabetes mellitus; HM, hematogenic malignancy; HSCT, nonautologous hematopoietic stem cell transplant; HTN, hypertension; ICU, intensive care unit; IgM, immunoglobulin M; IQR, interquartile range; LDH, lactate dehydrogenase; MDS, myelodysplastic syndrome; MM, multiple myeloma; PaO2, partial pressure of arterial oxygen; PCP, Pneumocystis jirovecii pneumonia; PCR, polymerase chain reaction; RA, rheumatoid arthritis; S/P, status post; SOT, solid organ transplant; TMP-SMX, trimethoprim-sulfamethoxazole.

a

From hospitalization with PCP diagnosis.

b

Prednisone-equivalent dosing from time of COVID-19 diagnosis until PCP diagnosis. Daily or weekly administration of steroids for existing conditions is in addition to administration during hospital admittance for at least 6 months before hospitalization.

c

Imaging findings at time of diagnosis only available on PA and lateral chest x-ray, but improving and comparable findings were found on CT chest at 1-month follow up.