Top
30
Doctor insights on: Medicine For Pneumocystis Pneumonia

Share
1

1
How hard is it to diagnose pneumocystis pneumonia in us?

How hard is it to diagnose pneumocystis pneumonia in us?

Not hard: Pneumocystis can be readily diagnosed via a number of lab techniques on a sputum specimen. This is includes a test called direct fluorescence antibody test when the sputum is exposed to an antibody (protein) that can stick to the pcp fungus, or by observing the fungus under the microscope via other special stains. All this requires and adequate specimen often obtained with bronchoscopy, . ...Read more

Dr. Al Hegab
5 Doctors shared insights

Pneumocystis Pneumonia (Definition)

An organism called pneumocystis carini (now jirovechi) can cause infection of the lung, esp in the immunocompromised hosts and can cause profound hypoxemia, but is easily treated ...Read more


2

2
What is the definition or description of: pneumocystis pneumonia?

What is the definition or description of: pneumocystis pneumonia?

Infection of lung: An organism called pneumocystis carini (now jirovechi) can cause infection of the lung, esp in the immunocompromised hosts and can cause profound hypoxemia, but is easily treated with good old septran. ...Read more

3

3
What is the treatment for pneumocystis pneumonia?

What is the treatment for pneumocystis pneumonia?

Support and meds: Pcp pneumonia is treated like other pneumonia, specifically support including oxygen or mechanical ventilation if needed. Antibiotics specifically targeting pcp for example bactrim (sulfamethoxazole and trimethoprim). In pcp pneumonia that is associated with HIV disease, steroids for their antiinflammatory effect are also helpful. ...Read more

4

4
What medical conditions other than aids predisposes an individual to pneumocystis pneumonia?

Several: In general this infection is associated with damage to the part of the immune system controlled by a kind of white blood cell, called a t lymphocyte. This can be seen with prolonged use of high dose steroids medicines, or in blood cancers like leukemia. Lymphoma, and after organ transplants because of the needed suppression of the immune system to prevent organ rejection. ...Read more

5

5
How do you treat pneumocystis jirovecii pneumonia?

How do you treat pneumocystis jirovecii pneumonia?

Antibiotics: Pneumocystis jireovecii pnuemonia (formerly pcp) can be treated with IV Bactrim (sulfamethoxazole and trimethoprim) (tmp-smz) in most cases. In complicated situations (such as HIV infected patients) other agents that can be used include nebulized pentamidine, dapsone, Clindamycin + primaquine, atovaquone, trimetrexate. Treatment plan has to be determined based on each patient's specific circumstances. Talk to your doctor. ...Read more

6

6
Why would someone with pneumocystis jiroveci pneumonia have purple spots on body?

Why would someone with pneumocystis jiroveci pneumonia have purple spots on body?

HIV: Persons with pneumocystis infection are usually immunosuppressed, and the most common cause is hiv/aids. These patients may also have a type of cancer of the skin caused by herpesvirus 8 called kaposi's sarcoma, and this produces purple skin lesions. ...Read more

7

7
Can fatigue be caused by pneumocystis jirovecii pneumonia?

Can fatigue be caused by pneumocystis jirovecii pneumonia?

Yes: I strongly recommend that if you or a family member have this that you follow-up with your doctor. This is an infection often associated with other more significant diseases for which testing may be necessary. You likely also need treatment for the infection itself. Fatigue can be related to the infection, but may be more related to associated diseases. Talk to your doctor! ...Read more

8

8
What is the significance of purplish spots with pneumocystis carinii pneumonia?

Hard to say: Pneumocystis per se is not associated with purplish "spots", but since it is seen in the context of other diseases that damage the immune system it can be seen with other medical problems with purple spots. For ex one of the predisposing for pneumocystis is steroid medicine. Steroids can also cause easy bruising. In the setting of HIV a disease called kaposi's sarcoma this has purple spots, etc. ...Read more

9

9
How can a person go a long without treatment, then all of a sudden get pneumocystis carinii pneumonia thrush and be in critical condition?

How can a person go a long without treatment, then all of a sudden get pneumocystis carinii pneumonia thrush and be in critical condition?

Thrush: If a person has a problem develop with their immune system then they can suddenly develop pneumocystis pneumonia, thrush and become critically ill. ...Read more

10

10
What is the definition or description of: Pneumocystis carinii?

What is the definition or description of: Pneumocystis carinii?

Pneumocystis carinii: Pneumocystis carinii pneumonia (PCP) causes inflammation & fluid accumulation in lungs. It is caused by an opportunist infect with Pneumocystis jiroveci fungus. ...Read more

11

11
What are the tests for pneumocystis infection?

What are the tests for pneumocystis infection?

Several: A chest x-ray can be suggestive but staining of the respiratory secretions to see the cyst form of the organism is the best test for this infection found almost entirely in severely immune suppressed people. ...Read more

12

12
What are the symptoms of pneumocystis infection?

What are the symptoms of pneumocystis infection?

Pulmonary symptoms: Cough (usually dry), shortness of breath, and fever. The onset is typically more gradual than with bacterial pneumonia, getting progressively worse over days or weeks. Chest pain is less common than with bacterial pneumonia. ...Read more

13

13
What are the tests for pneumocystis infections?

Several: A chest x-ray can be suggestive but staining of the respiratory secretions to see the cyst form of the organism is the best test for this infection found almost entirely in severely immune suppressed people. ...Read more

14

14
What is the definition or description of: Pneumocystis infection?

Infection: By the quasi-fungal microbe pneumocystis jiroveci (carinii), generally an opportunistic infection, usually pneumonia, afflicting immunocompromised individuals. ...Read more

15

15
Will pneumocystis infection kill me?

Will pneumocystis infection kill me?

It can: Unfortunately, by the time you get pneumocystis your immune system is severely compromised. It is a treatable condition, but not always survivable. Therapy should continue until your immune system is fully reconstituted. ...Read more

16

16
What leads to pneumocystis infections?

Opportunistic: Any condition that compromises the immune system can allow pneumocystis to manifest: cancers, HIV disease, immunosupressant drugs for organ transplants or for autoimmune diseases (ra, psoriasis, etc); chemotherapy. ...Read more

17

17
With pneumocystis infections what else should I be concerned about?

Immune deficiency: Pneumocystis infection generally occurs in people with immune deficiency. At a minimum you should be tested for HIV infection. ...Read more

18

18
How common is it for somebody to get pneumocystis infections?

Normally uncommon: This is generally a disease which affects immunocompromised individuals. Patients with hiv-aids, those with certain malignancies, or other conditions in which normal host-defenses have been diminished are most affected. Seldom seen in "normal" individuals. ...Read more

19

19
Are there long-term effects of pneumocystis infections?

Yes: Pneumocystis infection commonly occurs in patients with immune deficiency and that has long term consequences. ...Read more

20

20
Should I see a specialist for pneumocystis infection, or can my regular doctor take care of it?

Depends who it is...: Depending on the reasons for getting pneumocystis and if your regular doctor is qualified (eg. Certified by the aahivm or belongs to hivma), he/she can also take care of it. In certain parts of the country, there are enough id specialists that can take care of patients with pneumocystis since many also require help in managing co-morbid conditions such as HIV or rheumatoid arthritis. ...Read more

21

21
Can radiation therapy for lung cancer also treat a pneumocystis infection?

Can radiation therapy for lung cancer also treat a pneumocystis infection?

No: Pneumocystis is an infectious organism. It can only be treated with specific antibiotics. On the other hand, radiation can weaken the immune system and cause pneumocystis pneumonia. ...Read more

22

22
Is is a zpack a good medicine for pneumonia?

Is is a zpack a good medicine for pneumonia?

Yes: Yes it is. But if you are not getting better you may need a change of antibiotics ...Read more

23

23
What drug can be prescribed for brunch pneumonia to a 3 month baby?

What drug can be prescribed for brunch pneumonia to a 3 month baby?

Clarify question: I am not familiar with brunch pneumonia. Infants can take antibiotics just as adults can with some exceptions, such as avoiding Ceftriaxone in the newborn period and Doxycycline less than 8years. ...Read more

24

24
Can Clydamycin be used to treat bronchitis? I've seen the drug has coverage for pneumonia, but no description specifically mentions bronchitis.

Can Clydamycin be used to treat bronchitis? I've seen the drug has coverage for pneumonia, but no description specifically mentions bronchitis.

Bronchitis: In 95% of cases, acute bronchitis is viral, so antibiotics in general would have no benefit. The mainstay of treatment here would really be steroids and inhalers. For the minority of cases that are bacterial, better antibiotic choices exist, such as Azithromycin or Levofloxacin. ...Read more

25

25
My 2 year old son was diagnosed with pneumonia on friday, the 21st. I wanted to know when should I take him back to the emergency room? He is taking all his medicines.

See a Pediatrician: The er is not a great place for follow up care. It is best to see a pediatrician or your primary care provider. If you don't have one, it would be good to establish with one. Most kids with pneumonia should be checked in a couple of days to see if they are starting to improve. Definitely call the doctor if the fever does not decrease in a few days, increased breathing problems or anything new. ...Read more

26

26
Which drug is preferable in treating nosocomial pneumonia?

Which drug is preferable in treating nosocomial pneumonia?

Nosocomial: pneumonia is not a specific disease. Nosocomial means that the infection was acquired in the hospital. So the preferred drug would depend on the particular microorganism responsible for the pneumonia, and other clinical factors. ...Read more

27

27
What is pneumonia? What are those medicine can heal pneumonia? How can I prevent or how to prevent pneumonia?

What is pneumonia? What are those medicine can heal pneumonia? How can I prevent or how to prevent pneumonia?

Lung infection: Pneumonia is an infection of lung, usually caused by bacteria or virus but also by fungus, too. Chemicals can cause similar pneumonitis or inflammatory response. Cancers & foreign objects can also block lungs too. Best way to prevent pneumonia is to avoid being coughed/sneezed upon, wash hands frequently, don't smoke, maintain your immune system via diet & exercise. Most important, stop smoking! ...Read more

28

28
What drug can be prescribed for a 3 month baby with bronchitis pneumonia?

What drug can be prescribed for a 3 month baby with bronchitis pneumonia?

It depends: That makes things somewhat more clear. Baby's don't get bronchitis, but bronchiolitis (lower airway inflammation). There is no treatment as it is a viral infection, just symptom support. If your baby received an x-ray and the doctor said they have pneumonia, than Amoxicillin is the first line treatment. ...Read more

29

29
Can you tell me how lowering drugs that reduce alertness aid in preventing pneumonia?

Can you tell me how lowering drugs that reduce alertness aid in preventing pneumonia?

Aspiration: If drousy just like not able to drive or work heavy machinery with out ill effect, eating or drinking, food or liquid with reflexes suppressed can allow aspiration which in turn can cause pneumonia. ...Read more

30

30
I have had pneumonia for 3 weeks no medicine is working and now I can't take a breath without extreme pain. What could be going on?

I have had pneumonia for 3 weeks no medicine is working and now I can't take a breath without extreme pain. What could be going on?

Need follow up: If you have not had a follow u with your doctor, it seems like it may be time. You may benefit from a pain medication. I know it may hurt to breath but you need to to keep your airway open. Your doctor can help by giving you a spirometer which can help you take deep breathes. ...Read more

Dr. Michael DePietro
2,234 Doctors shared insights

Pneumonia (Definition)

An inflammation of the lungs, most ...Read more