• Curr Oncol · Feb 2021

    Case Reports

    Not COVID-19, Don't Overlook Pneumocystis in Patients on Gefitinib!

    • Jérémy Barben, Valérie Quipourt, Jérémie Vovelle, Alain Putot, and Patrick Manckoundia.
    • Geriatrics Department, University Hospital of Dijon, 21000 Dijon, France.
    • Curr Oncol. 2021 Feb 21; 28 (1): 961-964.

    AbstractAn 82-year-old woman treated for advanced lung cancer with gefitinb was admitted to the emergency unit complaining of dyspnea. Chest computed tomography found abnormalities classified as possible diffuse COVID-19 pneumonia. RT-PCR for Sars-Cov-2 was twice negative. PCR for Pneumocystis jirovecii was positive on bronchoalveolar lavage. The final diagnosis was Pneumocystis jirovecii pneumonia. Therefore, physicians must be careful not to misdiagnose COVID-19, especially in cancer patients on small-molecule therapeutics like gefitinib and corticosteroids.

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