Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy

In the era of target therapy, we face the challenge of the risk of opportunistic infection in patients with B-cell lymphoma who receiving rituximab-based chemotherapy. Opportunistic infections such as Pneumocystis jiroveci pneumonia (PJP) and Cytomegalovirus (CMV) pneumonia are life-threatening dise...

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Main Authors: Mu-Chun Yang, Sheng-Kang Chiu, Jong-Kai Hsiao, Woei-Yau Kao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of Cancer Research and Practice
Subjects:
Online Access:https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00015
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author Mu-Chun Yang
Sheng-Kang Chiu
Jong-Kai Hsiao
Woei-Yau Kao
author_facet Mu-Chun Yang
Sheng-Kang Chiu
Jong-Kai Hsiao
Woei-Yau Kao
author_sort Mu-Chun Yang
collection DOAJ
description In the era of target therapy, we face the challenge of the risk of opportunistic infection in patients with B-cell lymphoma who receiving rituximab-based chemotherapy. Opportunistic infections such as Pneumocystis jiroveci pneumonia (PJP) and Cytomegalovirus (CMV) pneumonia are life-threatening diseases. However, PJP with CMV coinfection is rare. Here, we report a follicular lymphoma patient who suffered from PJP with CMV coinfection after receiving three cycles of rituximab, cyclophosphamide, vincristine, and prednisone regimen and was successfully rescured after timely identification and treatment. We emphasize that physicians should be alert for the coinfection of PJP and CMV in lymphoma patients receiving rituximab-based chemotherapy and the timely recognition, and treatment that may avoid a deadly outcome.
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issn 2311-3006
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publishDate 2024-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Cancer Research and Practice
spelling doaj-art-78c3905f7b1d4819adef5e03cb825db22025-01-23T05:10:46ZengWolters Kluwer Medknow PublicationsJournal of Cancer Research and Practice2311-30062024-01-01111394310.4103/ejcrp.eJCRP-D-23-00015Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based ChemotherapyMu-Chun YangSheng-Kang ChiuJong-Kai HsiaoWoei-Yau KaoIn the era of target therapy, we face the challenge of the risk of opportunistic infection in patients with B-cell lymphoma who receiving rituximab-based chemotherapy. Opportunistic infections such as Pneumocystis jiroveci pneumonia (PJP) and Cytomegalovirus (CMV) pneumonia are life-threatening diseases. However, PJP with CMV coinfection is rare. Here, we report a follicular lymphoma patient who suffered from PJP with CMV coinfection after receiving three cycles of rituximab, cyclophosphamide, vincristine, and prednisone regimen and was successfully rescured after timely identification and treatment. We emphasize that physicians should be alert for the coinfection of PJP and CMV in lymphoma patients receiving rituximab-based chemotherapy and the timely recognition, and treatment that may avoid a deadly outcome.https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00015coinfectioncytomegalovirusfollicular lymphomapneumocystis jiroveci pneumoniarituximabcyclophosphamidevincristineand prednisone
spellingShingle Mu-Chun Yang
Sheng-Kang Chiu
Jong-Kai Hsiao
Woei-Yau Kao
Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy
Journal of Cancer Research and Practice
coinfection
cytomegalovirus
follicular lymphoma
pneumocystis jiroveci pneumonia
rituximab
cyclophosphamide
vincristine
and prednisone
title Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy
title_full Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy
title_fullStr Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy
title_full_unstemmed Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy
title_short Life-threatening Pneumocystis jiroveci Pneumonia with Cytomegalovirus Coinfection in a Follicular Lymphoma Patient During Rituximab-based Chemotherapy
title_sort life threatening pneumocystis jiroveci pneumonia with cytomegalovirus coinfection in a follicular lymphoma patient during rituximab based chemotherapy
topic coinfection
cytomegalovirus
follicular lymphoma
pneumocystis jiroveci pneumonia
rituximab
cyclophosphamide
vincristine
and prednisone
url https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00015
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AT jongkaihsiao lifethreateningpneumocystisjirovecipneumoniawithcytomegaloviruscoinfectioninafollicularlymphomapatientduringrituximabbasedchemotherapy
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