Pneumocystis pneumonia, a COVID-19 mimic, reminds us of the importance of HIV testing in COVID-19

Sophie Kelly, Laura Waters, Muge Cevik, Simon Collins, Joe Lewis, Meng San Wu, Tom J. Blanchard, Anna M. Geretti

Research output: Contribution to journalLetterpeer-review

31 Citations (Scopus)
5 Downloads (Pure)

Abstract

While clinical environments are highly focused on COVID-19, reports of missed or delayed treatment for conditions that imitate COVID-19, such as pneumonia caused by the fungus Pneumocystis jirovecii, are emerging. Given the uncertain spectrum of COVID-19 presentations and variable sensitivity of laboratory tests for SARS-CoV-2, there is a risk that, without a high index of suspicion, alternative aetiologies may be overlooked while pursuing a diagnosis of COVID-19. The British HIV Association has been calling for the inclusion of HIV testing in all patients admitted to hospital with suspected COVID-19. In this article we reflect on the importance of including HIV testing to prevent avoidable morbidity and mortality in our patients.

Original languageEnglish
Pages (from-to)590-592
Number of pages3
JournalClinical Medicine
Volume20
Issue number6
DOIs
Publication statusPublished - 16 Nov 2020

Keywords

  • COVID-19
  • HIV
  • PCP
  • Pneumocystis jirovecii
  • SARS-CoV-2

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