Trimethoprim-sulfamethoxazole (TMP-SMX, co-trimoxazole, or bactrim) has been the standard first-line treatment against Pneumocystis jirovecii pneumonia (PCP) for decades. However, adverse effects and cases of treatment failure have led to a search for alternative agents. We present a case of a 50 year old immune compromised female whose course of PCP did not improve until Caspofungin was added to TMP-SMX.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384316PMC
http://dx.doi.org/10.1016/j.idcr.2019.e00496DOI Listing

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