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Published on: February 23, 2014
[Pneumocystis jiroveci: a new name for an old pathogen]
J M Varela Aguilar1, F J Medrano Ortega, E Calderón Sandubete
1Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, España. varelajm@jazzfree.com
Abstract:
Pneumonia due to Pneumocystis is an important cause of morbidity-mortality among immunodepressed patients, above all with human immunodeficiency virus infection and finally in patients with transplants, oncology patients and those subjected to drug immunodepression. Its lack of capacity to grow in the usual culture mediums has hindered knowledge on many aspects of this infection (transmission, acquisition mode, infection sources). However, the incorporation of molecular biology tools in recent years has made it possible to go deeper into the understanding of the epidemiology, biology and characteristics of the infection by this pathogen. These advances have led to the modification of the taxonomic classification of this atypical fungus and change in the name of the Pneumocystis responsible for the infection in humans, which is now called Pneumocystis jirovecii. During this article, we will show some of the most recent advances in the knowledge of the human pneumocystosis.
Insights
Pneumocystis pneumonia (PCP) significantly impacts immunocompromised individuals. Molecular tools have advanced understanding of this fungal infection, now caused by Pneumocystis jirovecii.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Immunology
Background:
- Pneumocystis pneumonia (PCP) is a severe opportunistic infection, particularly affecting individuals with human immunodeficiency virus (HIV) infection, organ transplant recipients, cancer patients, and those on immunosuppressive therapy.
- Historically, the inability to culture Pneumocystis in standard laboratory media has limited research into its transmission, acquisition, and sources.
- Recent advancements in molecular biology have significantly enhanced our comprehension of PCP's epidemiology, pathogen biology, and clinical characteristics.
Purpose of the Study:
- To review recent advancements in understanding human pneumocystosis.
- To highlight the impact of molecular tools on studying Pneumocystis infections.
- To discuss the updated taxonomy and nomenclature of the causative agent, Pneumocystis jirovecii.
Main Methods:
- Literature review focusing on recent studies utilizing molecular biology techniques.
- Analysis of epidemiological data and biological characteristics of Pneumocystis.
- Examination of taxonomic revisions for the human pathogen.
Main Results:
- Molecular tools have revolutionized the study of Pneumocystis, enabling deeper insights into its transmission and epidemiology.
- The causative agent of human pneumocystosis has been reclassified and is now known as Pneumocystis jirovecii.
- Significant progress has been made in understanding the biology and infection dynamics of this opportunistic pathogen.
Conclusions:
- Pneumocystis jirovecii is the primary cause of PCP in immunocompromised patients.
- Molecular diagnostics and research have been crucial in advancing the knowledge of human pneumocystosis.
- Continued research using advanced tools is essential for managing and preventing PCP effectively.
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