PJP cases
Age, y/sex . | Prior treatments . | Therapy . | Ibrutinib duration at time of PJP, mo . | Steroid use within preceding 30 d . | IgG level at time of infection . | Symptoms . | Diagnostic tests . | PJP therapy . | Outcome . | |
---|---|---|---|---|---|---|---|---|---|---|
Chest CT scan . | β-d-glucan level . | |||||||||
Case 1 | ||||||||||
75/male | None: randomized to ibrutinib-alone arm of phase 3 trial | Ibrutinib single agent | 1.1 | None | Data not available | Fever, cough, dyspnea, fatigue | Diffuse bilateral patchy ground-glass opacities | 289 | TMP-SMX + prednisone for 21 d; ibrutinib held | Following PJP treatment, ibrutinib and PJP prophylaxis were resumed; symptoms resolved without subsequent recurrence of PJP |
Case 2 | ||||||||||
80/female | F/FR/PCR | Ibrutinib single agent | 2.7 | None | 272 | Fever, dyspnea, hypoxia (oxygen saturation 88% on room air) | Diffuse bilateral patchy ground-glass opacities | 171 | TMP-SMX + prednisone for 21 d; ibrutinib held | Following PJP treatment, ibrutinib and PJP prophylaxis were resumed; symptoms resolved without subsequent recurrence of PJP |
Case 3 | ||||||||||
62/female | None: enrolled in clinical trial of frontline therapy | iFCR | 30.6 | None | 166 | Fever, dyspnea, hypoxia (oxygen saturation 82% on room air) | Diffuse bilateral patchy ground-glass opacities | 394 | TMP-SMX + prednisone for 21 d; ibrutinib held | Following PJP treatment, ibrutinib and PJP prophylaxis were resumed; symptoms resolved without subsequent recurrence of PJP |
Age, y/sex . | Prior treatments . | Therapy . | Ibrutinib duration at time of PJP, mo . | Steroid use within preceding 30 d . | IgG level at time of infection . | Symptoms . | Diagnostic tests . | PJP therapy . | Outcome . | |
---|---|---|---|---|---|---|---|---|---|---|
Chest CT scan . | β-d-glucan level . | |||||||||
Case 1 | ||||||||||
75/male | None: randomized to ibrutinib-alone arm of phase 3 trial | Ibrutinib single agent | 1.1 | None | Data not available | Fever, cough, dyspnea, fatigue | Diffuse bilateral patchy ground-glass opacities | 289 | TMP-SMX + prednisone for 21 d; ibrutinib held | Following PJP treatment, ibrutinib and PJP prophylaxis were resumed; symptoms resolved without subsequent recurrence of PJP |
Case 2 | ||||||||||
80/female | F/FR/PCR | Ibrutinib single agent | 2.7 | None | 272 | Fever, dyspnea, hypoxia (oxygen saturation 88% on room air) | Diffuse bilateral patchy ground-glass opacities | 171 | TMP-SMX + prednisone for 21 d; ibrutinib held | Following PJP treatment, ibrutinib and PJP prophylaxis were resumed; symptoms resolved without subsequent recurrence of PJP |
Case 3 | ||||||||||
62/female | None: enrolled in clinical trial of frontline therapy | iFCR | 30.6 | None | 166 | Fever, dyspnea, hypoxia (oxygen saturation 82% on room air) | Diffuse bilateral patchy ground-glass opacities | 394 | TMP-SMX + prednisone for 21 d; ibrutinib held | Following PJP treatment, ibrutinib and PJP prophylaxis were resumed; symptoms resolved without subsequent recurrence of PJP |
CT, computed tomography; F, fludarabine; FCR, fludarabine, cyclophosphamide, rituximab; FR, fludarabine, rituximab; IgG, immunoglobulin G; PCR, pentostatin, cyclophosphamide, rituximab.