Characteristics and Mortality of Pneumocystis Pneumonia in Patients With Cushing’s Syndrome: A Plea for Timely Initiation of Chemoprophylaxis
Author(s) -
Karlijn van Halem,
Lucia Vrolijk,
Alberto M. Pereira,
Mark de Boer
Publication year - 2017
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofx002
Subject(s) - medicine , plea , chemoprophylaxis , pneumonia , intensive care medicine , pediatrics , law , political science
In patients with Cushing's syndrome, development of pneumonia (PCP) is associated with extreme cortisol production levels. In this setting, immune reconstitution after abrogation of cortisol excess appears to induce development of symptomatic PCP. The high mortality rate warrants timely initiation of chemoprophylaxis or even preemptive treatment of PCP.
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