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High prevalence of Pneumocystis jirovecii colonization among HIV-positive patients in southern Brazil

Authors

Pereira, Robson M. , Mueller, Andre L. , Zimerman, Ricardo A. , Antunes, Denise B. , Zinn, Vitor F. , Friaza, Vicente , DE LA HORRA PADILLA, CARMEN, Calderon, Enrique J. , Wissmann, Gustavo

External publication

Si

Means

Med. Mycol.

Scope

Article

Nature

Científica

JCR Quartile

SJR Quartile

JCR Impact

2.335

SJR Impact

1.04

Publication date

01/11/2014

ISI

000344614300004

Abstract

A high prevalence of Pneumocystis jirovecii colonization was observed in patients positive for the human immunodeficiency virus (HIV) admitted to a tertiary hospital in southern Brazil between August 2012 and December 2012. Amplification of the mitochondrial large subunit ribosomal RNA gene in oropharyngeal samples through nested polymerase chain reaction identified P. jirovecii colonization in 26 of 58 (44.8%) HIV-positive patients admitted for causes other than Pneumocystis pneumonia. Colonization was more frequent among patients with an absolute CD4 count a parts per thousand currency sign200 cells/mu l. These findings suggest that the HIV-infected population is a major reservoir and source of P. jirovecii infection and that identification of such individuals may contribute to future strategies for improving management of HIV-infected patients.

Keywords

Pneumocystis jirovecii; colonization; HIV