Post-COVID-19 severe pneumonia in a non-HIV and immunocompetent patient: A case report and literature review

Pneumocystis jirovecii is a ubiquitous opportunistic fungus that can cause life-threatening pneumonia. The clinical manifestations of pneumonia caused by severe acute respiratory syndrome coronavirus 2 and P. jirovecii are similar, posing a significant challenge in the diagnosis of P. jirovecii pneu...

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Bibliographic Details
Main Authors: Zhi-Yang Xu, Wei Ouyang, Jin-Liang Liu, Wen-Jing Ye, Feng Xu
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251344140
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Summary:Pneumocystis jirovecii is a ubiquitous opportunistic fungus that can cause life-threatening pneumonia. The clinical manifestations of pneumonia caused by severe acute respiratory syndrome coronavirus 2 and P. jirovecii are similar, posing a significant challenge in the diagnosis of P. jirovecii pneumonia or coronavirus disease 2019. Herein, we report a case of P. jirovecii pneumonia diagnosed through bronchoalveolar lavage and sputum smear analyses. The patient recovered successfully and was discharged following combination therapy with trimethoprim/sulfamethoxazole and corticosteroids. Early diagnosis and prompt treatment are of vital importance in managing P. jirovecii pneumonia, particularly in individuals with related risk factors for P. jirovecii pneumonia development.
ISSN:1473-2300