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Clinical cases of pneumocystis pneumonia in patients with HIV infection and underlying COVID-19

https://doi.org/10.22625/2072-6732-2022-14-4-126-131

Abstract

During the COVID-19 pandemic, additional difficulties have emerged in the differential diagnosis of interstitial pulmonary abnormalities, especially in patients with HIV infection, in whom this kind of injury can be caused by a wide range of pathogens, including opportunistic diseases. The high probability of an adverse outcome of pulmonary disease in patients with severe immunodeficiency requires an urgent choice of effective therapy.

The article describes clinical cases of pneumocystis pneumonia in two COVID-19 patients with newly diagnosed HIV infection, illustrating the difficulties of differential diagnosis in these conditions.

About the Authors

K. Ilieva
First Saint-Petersburg State Medical University named after academician I.P. Pavlov
Russian Federation

Saint Petersburg



E. Yu. Karnaukhova
First Saint-Petersburg State Medical University named after academician I.P. Pavlov
Russian Federation

Saint Petersburg



O. E. Pobegalova
First Saint-Petersburg State Medical University named after academician I.P. Pavlov
Russian Federation

Saint Petersburg



D. A. Lioznov
First Saint-Petersburg State Medical University named after academician I.P. Pavlov; Research Institute of Influenza named after A.A. Smorodintsev
Russian Federation

Saint Petersburg



References

1. Brown GD, Denning DW, Gow NA, Levitz SM, Netea MG, White TC. Hidden killers: human fungal infections. Science translational medicine. 2012 Dec 19;4(165):165rv13-. DOI: 10.1126/scitranslmed.3004404

2. Dunbar A, Schauwvlieghe A, Algoe S, Van Hellemond JJ, Reynders M, Vandecasteele S, Boelens J, Depuydt P, Rijnders B. Epidemiology of Pneumocystis jirovecii Pneumonia and (Non-) use of Prophylaxis. Frontiers in cellular and infection microbiology. 2020 May 15;10:224. DOI: 10.3389/fcimb.2020.00224

3. Wu L, Zhang Z, Wang Y, Hao Y, Wang F, Gao G, Yang D, Xiao J, Zhao H. A model to predict in-hospital mortality in HIV/ AIDS patients with pneumocystis pneumonia in China: the clinical practice in real world. BioMed research international. 2019 Feb 17;2019. DOI: 10.1155/2019/6057028

4. Wu L, Zhang Z, Wang Y, Hao Y, Wang F, Gao G, Yang D, Xiao J, Zhao H. A model to predict in-hospital mortality in HIV/ AIDS patients with pneumocystis pneumonia in China: the clinical practice in real world. BioMed research international. 2019 Feb 17;2019. DOI: 10.1155/2019/6057028

5. Cillóniz C, Dominedò C, Álvarez-Martínez MJ, Moreno A, García F, Torres A, Miro JM. Pneumocystis pneumonia in the twenty-first century: HIV-infected versus HIV-uninfected patients. Expert Review of Anti-infective Therapy. 2019 Oct 3;17(10):787-801. DOI: 10.1080/14787210.2019.1671823

6. Kelly S, Waters L, Cevik M, Collins S, Lewis J, Wu MS, Blanchard TJ, Geretti AM. Pneumocystis pneumonia, a COVID-19 mimic, reminds us of the importance of HIV testing in COVID-19. Clinical Medicine. 2020 Nov;20(6):590. DOI:10.7861/clinmed.2020-0565

7. Duzgun SA, Durhan G, Demirkazik FB, Akpinar MG, Ariyurek OM. COVID-19 pneumonia: the great radiological mimicker. Insights into imaging. 2020 Dec;11(1):1-5. https://doi.org/10.1186/s13244-020-00933-z

8. Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, Fan Y, Zheng C. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. The Lancet infectious diseases. 2020 Apr 1;20(4):425-34. https://doi.org/10.1016/S1473-3099(20)30086-4

9. Karacan A, Aksoy YE, Öztürk MH. The radiological findings of COVID-19. Turkish journal of medical sciences. 2021 Dec 17;51(SI-1):3327-39. DOI: 10.3906/sag-2106-203

10. Szydłowicz M, Matos O. Pneumocystis pneumonia in the COVID-19 pandemic era: similarities and challenges. Trends in parasitology. 2021 Oct 1;37(10):859-62. DOI: 10.1016/j.pt.2021.07.010

11. Vizcarra P, Pérez-Elías M, Quereda C, et al. Description of COVID-19 in HIV-infected individuals: a single-centre, prospective cohort. // Lancet HIV. 2020;7(8):554-564. doi: 10.1016/S2352-3018(20)30164.

12. Averyanov AV, Sotnikova AG, Lesnyak VN. Pneumocystis pneumonia mimicking COVID-19. Journal of Clinical Practice. 2020 Aug 2;11(2):87-92. https://doi.org/10.17816/clinpract34995


Review

For citations:


Ilieva K., Karnaukhova E.Yu., Pobegalova O.E., Lioznov D.A. Clinical cases of pneumocystis pneumonia in patients with HIV infection and underlying COVID-19. Journal Infectology. 2022;14(4):126-131. (In Russ.) https://doi.org/10.22625/2072-6732-2022-14-4-126-131

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ISSN 2072-6732 (Print)