Neumonía por Pneumocystis jiroveci post inicio de tratamiento con infliximab en paciente con enfermedad de Crohn

Fluxá, Daniela; Segovia, Jorge; Florenzano, Matías; Salinas, Jessica; Flores, Lilian; Simian, Daniela; Quera, Rodrigo

Neumonía por Pneumocystis jiroveci post inicio de tratamiento con infliximab en paciente con enfermedad de Crohn / Pneumocystis jiroveci pneumonia following infliximab therapy in patient with Crohn's disease

Fluxá, Daniela; Segovia, Jorge; Florenzano, Matías; Salinas, Jessica; Flores, Lilian; Simian, Daniela; Quera, Rodrigo.

Fluxá, Daniela; Clínica Las Condes. Departamento de Gastroenterología. Santiago. CL
Segovia, Jorge; Clínica Las Condes. Departamento de Medicina Interna. Unidad de Infectología. Santiago. CL
Florenzano, Matías; Clínica Las Condes. Centro de Enfermedades Respiratorias. Santiago. CL
Salinas, Jessica; Clínica Las Condes. Unidad de Inmunología. Santiago. CL
Flores, Lilian; Clínica Las Condes. Departamento de Gastroenterología. Santiago. CL
Simian, Daniela; Clínica Las Condes. Santiago. CL
Quera, Rodrigo; Clínica Las Condes. Departamento de Gastroenterología. Santiago. CL

Rev. chil. infectol ; 34(5): 518-519, oct. 2017. graf

Article in Spanish | LILACS | ID: biblio-1042641

ABSTRACT

ABSTRACT

There are no evidence-based guidelines about prophylaxis against Pneumocystis jiroveci pneumonia in inflammatory bowel disease. We report a case of P. jiroveci pneumonia in patient with Crohn's disease receiving infliximab and methotrexate. This case emphasizes the importance of considering the possibility of this infection in inflammatory bowel disease patients treated on biological therapy.

Subject(s)

Humans; Female; Middle Aged; Pneumonia, Pneumocystis/chemically induced; Gastrointestinal Agents/adverse effects; Crohn Disease/drug therapy; Infliximab/adverse effects; Pneumonia, Pneumocystis/diagnostic imaging; Radiography; Tomography, X-Ray Computed; Risk Factors; Immunosuppressive Agents/adverse effects

Colitis ulcerosa; Crohn's colitis; Enfermedad de Crohn; Enfermedad inflamatoria intestinal; Inflammatory bowel disease; Pneumocystis carinii; Pneumocystis carinii; Pneumocystis jiroveci; Pneumocystis jiroveci; Ulcerative colitis

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Full text: Available Index: LILACS (Americas) Main subject: Pneumonia, Pneumocystis / Gastrointestinal Agents / Crohn Disease / Infliximab Type of study: Diagnostic study / Etiology study / Practice guideline Limits: Female / Humans Language: Spanish Journal: Rev. chil. infectol Journal subject: Communicable Diseases Year: 2017 Type: Article Affiliation country: Chile Institution/Affiliation country: Clínica Las Condes/CL

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