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Not COVID-19, Don't Overlook Pneumocystis in Patients on Gefitinib!
Jérémy Barben1, Valérie Quipourt1, Jérémie Vovelle1
1Geriatrics Department, University Hospital of Dijon, 21000 Dijon, France.
Abstract:
An 82-year-old woman treated for advanced lung cancer with gefitinb was admitted to the emergency unit complaining of dyspnea. Chest computed tomography found abnormalities classified as possible diffuse COVID-19 pneumonia. RT-PCR for Sars-Cov-2 was twice negative. PCR for Pneumocystis jirovecii was positive on bronchoalveolar lavage. The final diagnosis was Pneumocystis jirovecii pneumonia. Therefore, physicians must be careful not to misdiagnose COVID-19, especially in cancer patients on small-molecule therapeutics like gefitinib and corticosteroids.
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