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Pneumocystis Pneumonia in Non-HIV Pregnant Women Receiving Chemotherapy for Malignant Lymphoma: Two Case Reports

机译:非HIV孕妇接受恶性淋巴瘤化学疗法的肺气肿性肺炎:两例报道

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摘要

Pneumocystis pneumonia (PCP) is a life-threatening opportunistic infection that sometimes occurs in immunocompromised patients with human immunodeficiency virus (HIV). Here, we report two extremely rare cases of PCP in non-HIV pregnant women who underwent chemotherapy for malignant lymphoma. Case  1 is a 34-year-old primigravida who was diagnosed with Hodgkin's lymphoma. She received ABVD chemotherapy and developed PCP at 37 weeks of gestation. After the onset of PCP, emergent cesarean section was performed due to a nonreassuring fetal status. Case  2 is a 31-year-old multigravida with diffuse large B-cell lymphoma who was administered R-CHOP chemotherapy. At 34 weeks of gestation, she complained of dyspnea and developed PCP. She delivered her baby vaginally immediately after the onset of symptoms. Both patients were treated with sulfamethoxazole-trimethoprim (ST) and recovered shortly thereafter. The babies' courses were also uneventful. PCP remains a serious cause of death, especially in non-HIV patients, and, therefore, appropriate prophylaxis and a prompt diagnosis are imperative.
机译:肺囊虫性肺炎(PCP)是威胁生命的机会性感染,有时会在免疫功能低下的人类免疫缺陷病毒(HIV)患者中发生。在这里,我们报道了在非HIV孕妇中接受过恶性淋巴瘤化疗的两例PCP极少见的病例。病例1是一名34岁的初产妇,被诊断患有霍奇金淋巴瘤。她在妊娠37周时接受了ABVD化疗并发展了PCP。 PCP发作后,由于胎儿状况不安定,进行了紧急剖宫产。病例2是一名31岁的多孕妇,患有弥漫性大B细胞淋巴瘤,接受过R-CHOP化疗。妊娠34周时,她主诉呼吸困难并发展为PCP。症状发作后,她立即通过阴道分娩了婴儿。两名患者均接受过磺胺甲恶唑三甲氧苄氨嘧啶(ST)治疗,此后不久就康复了。婴儿的课程也很顺利。五氯苯酚仍然是严重的死亡原因,尤其是在非艾滋病毒患者中,因此,必须采取适当的预防措施并迅速做出诊断。

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