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Published on: February 23, 2014
[Pneumocystis pneumonia]
1Department of Infectious Diseases and Applied Immunology, The University of Tokyo, The Institute of Medical Science.
Abstract:
Pneumocystis jirovecii (formerly Pneumocystis carinii) is an ascomycetous fungus that causes opportunistic pulmonary infections in immunocompromised patients such as human immunodeficiency virus (HIV) infection, haematological/solid malignancies, transplant recipients and receiving chronic immunosuppressive medications. Although the reports of defects of cell-mediated immunity in patients with diabetes abound, diabetes mellitus is not considerable risk of developing Pneumocystis pneumonia. In this review, I discuss aspects of the biology of this pathogen and the damage it causes to the host lung, and then I summarize the clinical, laboratory, and radiological findings of Pneumocystis pneumonia in immunocompromised patients.
Insights
Pneumocystis jirovecii causes lung infections in immunocompromised individuals, including those with HIV and cancer. Despite immune defects, diabetes does not significantly increase Pneumocystis pneumonia risk.
Area of Science:
- Mycology: Classification of Pneumocystis jirovecii as an ascomycetous fungus.
- Immunology: Focus on cell-mediated immunity defects in various patient groups.
Context:
- Pneumocystis jirovecii (formerly Pneumocystis carinii) is an opportunistic pathogen.
- Infections occur primarily in immunocompromised patients, including those with HIV, malignancies, and transplant recipients on immunosuppressants.
Purpose:
- To review the biology of Pneumocystis jirovecii.
- To describe the pathogenesis of Pneumocystis pneumonia (PCP).
- To summarize clinical, laboratory, and radiological findings of PCP in immunocompromised hosts.
Summary:
- Pneumocystis jirovecii causes opportunistic pulmonary infections in immunocompromised individuals.
- Diabetes mellitus, despite associated immune defects, is not a significant risk factor for PCP.
- The review covers pathogen biology, host lung damage, and diagnostic findings of PCP.
Impact:
- Provides a comprehensive overview of Pneumocystis pneumonia for clinicians and researchers.
- Highlights the importance of identifying immunocompromised states for PCP diagnosis.
- Clarifies the role of diabetes in the context of Pneumocystis pneumonia risk.
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