What symptom does Pneumocystis pneumonia have?

summary

Pneumocystis carinii pneumonia, also known as Pneumocystis carinii pneumonia, is caused by Pneumocystis carinii interstitial plasma cell pneumonia, is a conditional pulmonary infectious disease. This disease was only seen in premature infants and malnourished infants before 1950s. With the application of immunosuppressants in recent 10 years, what are the symptoms of Pneumocystis pneumonia? Next, I'd like to share my views with you.

What symptom does Pneumocystis pneumonia have?

The epidemic infant type (classic type) is prevalent in infant care institutions. The onset of the disease was slow, including food phobia, diarrhea, low fever, cough, dyspnea, and progressive aggravation. The mortality rate was 20% - 50% without treatment.

The onset of child adult type (modern type) is acute, with dry cough at the beginning, rapid high fever, shortness of breath, cyanosis, few lung signs, and hepatosplenomegaly. From the onset to the diagnosis, the typical time is 1-2 weeks. The patients who received high-dose hormone therapy have a short course of disease and may die in 4-8 days.

The course of disease of AIDS patients is relatively slow and gradual. First, they have weight loss, night sweats, swollen lymph nodes and general discomfort, and then they have the above respiratory symptoms, which can last for weeks to months. Without treatment, 100% died of respiratory failure. The symptoms of the disease are serious, but the signs of the lung are few. Most patients have no abnormal auscultation of the lung, and some patients can hear the scattered moist sound.

matters needing attention

Pay attention to the isolation of immunosuppressors and patients to prevent cross infection. Close attention should be paid to the high-risk groups. Drug prevention can effectively prevent potential infection from turning into clinical disease and recurrence after treatment. TMP 5mg / kg and SMZ 25mg / kg were taken orally three times a day or week. Pentamidine aerosol inhalation can be used as a second-line preventive drug.