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Article

Successful Empirical Treatment of Severe Pneumocystis carinii Pneumonia in Immunocompromised Children

1Department of Child Health, Faculty of Medicine, University of Indonesia

2Division of Respirology, Department of Child Health, Faculty of Medicine, University of Indonesia


American Journal of Medical Case Reports. 2016, Vol. 4 No. 6, 208-211
DOI: 10.12691/ajmcr-4-6-6
Copyright © 2016 Science and Education Publishing

Cite this paper:
Felix Liauw, Windhi Kresnawati, Nastiti Kaswandani. Successful Empirical Treatment of Severe Pneumocystis carinii Pneumonia in Immunocompromised Children. American Journal of Medical Case Reports. 2016; 4(6):208-211. doi: 10.12691/ajmcr-4-6-6.

Correspondence to: Felix  Liauw, Department of Child Health, Faculty of Medicine, University of Indonesia. Email: felixliauw@gmail.com

Abstract

Immunocompromised patients are very prone to infection and sometimes result in death. Pneumocystis carinii pneumonia (PCP) is one of the opportunistic infections that affects lung. The frequency was high (80-88%). We reported 2 severe cases of PCP infection that remain survive. Case 1 is 8-year-old boy, post-liver transplantation, with PCP, pulmonary tuberculosis, cytomegalovirus infection, septic shock and severe malnutrition. Case 2 is 8-year-old girl, HIV positive, with PCP, respiratory failure, and severe malnutrition. These patients survived after adequate treatment of PCP and nutritional support. After 26 months of follow up, they are doing well with good nutritional status.

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