Pneumocystis jirovecii (P. carinii)
Detection by PCR
Pneumocystis jirovecii, formerly known
as Pneumocystis carinii f. sp. hominis,
is the causative agent of Pneumocystis
pneumonia (PCP). PCP is known to be
one of the most frequent and severe
opportunistic infections in immunocompromised
individuals and the organism was detected
in the lungs of a large percentage
of the population that did not have
underlying disease. Serologic studies
indicate that antibodies against the
organism can be detected in most children
early in life, indicating frequent
exposure to the organism. It has been
hypothesized that disease in immunocompromised
individuals is a reactivation of latent
infections acquired during childhood. However,
animal and human studies have shown
that the organism is eliminated after
infection and that the latency is
very limited. Healthy individuals
can acquire the organism through airborne
droplets.
Diagnosis of Pneumocystis jirovecii
was based on clinical findings that
evaluate clinical history of Pneumocystis
jirovecii carriage, chest X-rays,
HIV infection status and IFA findings
in the lab. Detection methods have
improved and detection of lower numbers
of the organism are now possible through
the use of Polymeraes Chain Reaction
(PCR) and nested PCR.
Description
Test#
Turnaround
PCR
testing for PCP from sputum,
alveolar lavage or oropharyngeal
wash samples
145
1 -
3 days
Samples should be shipped cooled
overnight.
Please contact the laboratory
if you have questions prior to
shipping.