First data on Pneumocystis jirovecii colonization in patients with respiratory diseases in North Lebanon

S Khalife1, E M Aliouat2, C M Aliouat-Denis2

  • 1Biology and Diversity of Emerging Eukaryotic Pathogens (BDPEE), Pasteur Institute of Lille, Centre for Infection and Immunity of Lille, University of Lille, Lille, France ; Health and Environment Microbiology Laboratory, AZM Centre for Research in Biotechnology and its Application, Doctoral School of Sciences and Technology, Lebanese University, Tripoli, Lebanon.

Insights

Pneumocystis colonization is prevalent in North Lebanon, particularly in chronic obstructive pulmonary disease (COPD) patients. This study highlights Pneumocystis circulation and transmission risks in respiratory patients.

Area of Science:

  • Medical Microbiology
  • Pulmonology
  • Infectious Diseases

Background:

  • Pneumocystis colonization may influence respiratory disease progression and transmission.
  • Understanding Pneumocystis epidemiology in patients with respiratory conditions is crucial for public health.

Purpose of the Study:

  • To investigate the prevalence and risk factors of Pneumocystis colonization in respiratory disease patients in North Lebanon.
  • To characterize Pneumocystis genotypes circulating in this population.

Main Methods:

  • A cross-sectional study was conducted on patients with respiratory diseases in North Lebanon.
  • Pneumocystis colonization was assessed, and patients with positive results underwent mtLSU genotyping.
  • Statistical analysis identified factors associated with colonization.

Main Results:

  • The overall prevalence of Pneumocystis colonization was 5.2%, significantly higher (17.3%) in patients with chronic obstructive pulmonary disease (COPD).
  • COPD was the sole factor linked to increased colonization risk.
  • mtLSU genotyping revealed a predominance of genotype 2 (71.4%), with one case of co-infection with genotype 3.

Conclusions:

  • This study provides the first data on Pneumocystis circulation in North Lebanon among respiratory patients.
  • The findings indicate a notable prevalence in COPD patients, suggesting a potential transmission reservoir.
  • These results underscore the importance of considering Pneumocystis in respiratory disease management and for immunocompromised individuals.

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