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Low Titer Pneumocystis jirovecii Infections: More than Just Colonization? | LitMetric

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Article Abstract

Non-pneumonia colonization is thought to occur frequently in immunocompetent individuals. The aim was to analyze if low-titer detections have more impact than just colonization. From our total cohort of patients for which testing by qPCR was requested, we selected exclusively those that were fully immunocompetent. Patients were defined as fully immunocompetent if they did not receive immunosuppressive therapy, displayed regular antibody titers, and did not suffer from acquired, inherited or autoimmune diseases. Only those patients with complete medical records available were included. A retrospective analysis identified patients with colonization and successful antibiotic therapy in response to laboratory pathogen detection. We identified 30 fully immunocompetent patients with colonization suspected to suffer from infection with the pathogen, but with milder symptoms than pneumonia. All patients were successfully treated with cotrimoxazole against and resolved from chronic cough and recurrent pulmonary infections. The fact that all patients displayed recovery from their clinical symptoms gives raise to the hypothesis that infections may also occur in immunocompetent patients but with milder symptoms.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753078PMC
http://dx.doi.org/10.3390/jof2020016DOI Listing

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