Age at HIV diagnosis, gender, behavioural risk | Category | CD4+ count at PJP diagnosis, PJP severity | PJP test 1 (Ct value, site) | PJP test 2 (Ct value, site) | Clinical outcome |
---|---|---|---|---|---|
Known HIV | |||||
39/M/IDU | On ART for 4 weeks, not on PJP prophylaxis | 200, mild | 37.0, TS | n/a | Survived |
38/M/MSM | Defaulted from care, not on ART | 10, severe | Neg., TS | 32.5, TS | ICU care, survived |
Missed opportunity to diagnose HIV | |||||
53/M/MSM | Unexplained diarrhoea and weight loss | 70, severe | 30.0, SPU | 26.2, SPU | ICU care, deceased |
43/F/heterosexual | Unexplained lymphadenopathy and weight loss | 50, severe | 26.4, SPU | Neg., TS | Readmitted with hypoxia, survived |
32/F/heterosexual | Campylobacter gastroenteritis | 50, severe | 36.4, TS | 25.3, SPU | ICU care, survived |
56/M/unknown | – | 30, severe | Neg., TS | 31.5, SPU | ICU care, deceased |
39/M/heterosexual | Unexplained weight loss | 20, mild | Neg., TS | 25.0, SPU | Survived |
62/M/MSM | Unexplained weight loss | 20, mild | 26.0, BAL | n/a | Survived |
55/M/MSM | Bacterial pneumonia | 20, mild | 33.0, SPU | n/a | Survived |
52/M/heterosexual | – | 10, severe | 30.3, SPU | 34.9, SPU | ICU care, survived |
57/M/MSM | Unexplained weight loss | 10, severe | 39.0, SPU | n/a | ICU care, survived |
52/M/heterosexual | Chronic diarrhoea, bacterial pneumonia | 0, severe | Neg., SPU | 28.0, SPU | ICU care, hypoxia requiring long-term home-O2 |
Note- BAL broncho-alveolar lavage; F: female; M: male; ICU: intensive care unit; IDU: intravenous drug user;
MSM men who have sex with men; n/a: not available; Neg.: PCR not detected; SPU: sputum, TS: throat swab
PJP severity (‘mild’: mild-moderate, or ‘severe’: moderate-severe, by BHIVA criteria)