Recently, I met a middle-aged male neighbor who had no special disease in past. In recent months, he often felt tired and had poor appetite. His weight suddenly dropped by about 10 kilograms. In recent weeks, he had cough and wheezing. He went to the hospital for consultation. The chest X-ray showed that there was pneumonia and shadows. He was immediately admitted to the infectious disease ward for treatment. After further examination, fortunately, it was found that it was not cancer, lung disease or new coronary pneumonia, but Pneumocystis pneumonia. 肺炎,而是肺囊蟲肺炎病。
Pneumocystis jirovecii is a very common parasite, mainly due to pulmonary infection caused by decreased autoimmunity. It is common in premature infants, infants with chronic diseases and malnutrition, and adults are commonly treated with immunosuppressants transplant patients, kidney dialysis patients, splenectomy patients, cancer or AIDS patients. Treatment of Pneumocystis pneumonia is often the same as antibiotics, and steroids are also required for patients with more severe symptoms (usually if the arterial oxygen pressure is less than 70mmHg without oxygen). The best way to prevent Pneumocystis pneumonia is to improve the patient’s immunity. For AIDS patients, it is necessary to take preventive drugs and use cocktail therapy to suppress the virus in the body. Once the immunity is improved, the preventive drugs can be stopped.
Spooky2 also has a program to solve the problem of Pneumocystis, as shown below: