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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-0198 | Other Identifier | Asan Medical Center |
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PCP (Pneumocystis jiroveci pneumonia) is one of the important opportunistic infections in immunocompromised patients including HIV-infected patients, transplant recipients, and immunosuppressant users. About one third of non-HIV patients with PCP have the evidence of co-infection with CMV. In this difficult clinical situation, physicians have difficulty to decide on whether anti-CMV treament will help patients with any evidence of CMV co-infection. However, there is no objective test to differentiate true co-infection of CMV from innocent bystander of CMV in those with PCP. The investigators thus evaluate the usefulness of CMV-specific ELISPOT assay in patients with PCP to differentiate true co-infection of CMV from inocent bystander of CMV. This findings may guide physicians to decide anti-CMV treatment in patients with PCP and CMV co-infection.
PCP (Pneumocystis jiroveci pneumonia) is one of the important opportunistic infections in immunocompromised patients including HIV-infected patients, transplant recipients, and immunosuppressant users. About one third of non-HIV patients with PCP have the evidence of co-infection with CMV. In this difficult clinical situation, physicians have difficulty to decide on whether anti-CMV treament will help patients with any evidence of CMV co-infection. However, there is no objective test to differentiate true co-infection of CMV from innocent bystander of CMV in those with PCP. The investigators thus evaluate the usefulness of CMV-specific ELISPOT assay in patients with PCP to differentiate true co-infection of CMV from inocent bystander of CMV. This findings may guide physicians to decide anti-CMV treatment in patients with PCP and CMV co-infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PCP with true CMV co-infection | |||
| PCP with innocent bystander CMV | |||
| PCP without any evidence of CMV |
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| Measure | Description | Time Frame |
|---|---|---|
| CMV co-infection | CMV co-infection is defined as (1) positive BAL (bronchoalveolar lavage fluid) CMV culture and (2) ganciclovir therapy for at least 1 week. | 1 month after the diagnosis of PCP |
| Measure | Description | Time Frame |
|---|---|---|
| overall mortality | 1 month after the diagnosis of PCP | |
| innocent bystander CMV infection | innocent bystander CMV infection
|
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Inclusion Criteria:
Exclusion Criteria:
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Non-HIV patients with PCP
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical Center | Seoul | 138-736 | South Korea |
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| ID | Term |
|---|---|
| D060085 | Coinfection |
| ID | Term |
|---|---|
| D007239 | Infections |
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| 1 month after the diagnosis of PCP |