Pulmonary coinfection by Pneumocystis jiroveci and Cryptococcus neoformans

作     者：Bava Javier Lloveras Susana Garro Santiago Troncoso Alcides 

作者机构：Laboratory of ParasitologyInfectious Diseases Hospital Division of Infectious DiseasesFrancisco Muniz Hospital Department of Infectious DiseasesTropical MedicineSchool of Medicine.Buenos Aires University 

出 版 物：《Asian Pacific Journal of Tropical Biomedicine》 (亚太热带生物医学杂志（英文版）)

年 卷 期：2012年第2卷第1期

页      面：80-82页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：Supported by the"Scientific Research Fund for Neglected Tropical Diseases"(Project Grant number J500798759) the Argentinian Institutes for Health System Improvement-a Public Health Agency.through a scholarship(Grant numbers300820891) 

主　　题：Cryptococcus neoformans Pneumocystis jiroveci Pulmonary coinfection Diagnosis test Opportunistic pathogen Pneumonia Definitive diagnosis 

摘      要：We communicate the diagnosis by microscopy of a pulmonary coinfection produced by Cryptococcus neoformans and Pneumocystis jiroveci,from a respiratory secretion obtained by bronchoalveolar lavage of an AIDS *** review of literature identified this coinfection as unusual *** infections associated with HIV infection are increasingly *** may occur at an early stage of *** concurrent opportunistic infections may occur,coexisting Pneumocystis jiroveci pneumonia(PCP)and disseminated cryptococcosis with cryptococcal pneumonia is *** lungs of individuals infected with HIV are often affected by opportunistic infections and tumours and over two-thirds of patients have at least one respiratory episode during the course of their *** is the leading HIV-associated *** present the case of a man who presented dual Pneumocystis jiroveci and cryptococcal pneumonia in a patient with *** diagnosis of PCP and Cryptococcus requires demonstration of these organisms in pulmonary tissues or *** patients with200/microliter CD4-lymphocytes,a bronchoalveolar lavage should be *** patient was successfully treated with amphotericin B and trimethoprim *** 1 week the patient showed clinical and radiologic improvement and was discharged 3 weeks later.