A Case of Pneumocystis Jirovecii Pneumonia in a Patient with Rheumatoid Arthritis
Journal of Rheumatic Diseases
;
: 359-363, 2012.
Article
in Korean
| WPRIM
| ID: wpr-176560
ABSTRACT
We report a 67-year-old woman who developed Pneumocystis jirovecii pneumonia (PJP) as a complication of treatment with immunosuppressant, such as methotrexate and leflunomide, for rheumatoid arthritis. She had mild fever and non-productive cough, but there was neither symptoms of dyspnea nor typical X-ray findings at initial presentation. However, rapid progression on a chest X-ray, respiratory symptoms and findings of high-resolution chest computed tomography in a few days suggested a possibility of PJP infection. A polymerase chain reaction-based detection of Pneumocystis jirovecii in induced sputum allowed us an early diagnosis of PJP. Through a preemptive treatment with Trimethoprim-sulfamethoxazole, she fully recovered from PJP.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumocystis
/
Pneumonia
/
Arthritis, Rheumatoid
/
Sputum
/
Thorax
/
Trimethoprim, Sulfamethoxazole Drug Combination
/
Methotrexate
/
Cough
/
Pneumocystis carinii
/
Early Diagnosis
Type of study:
Diagnostic study
/
Screening study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of Rheumatic Diseases
Year:
2012
Type:
Article
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