Literature DB >> 25286038

Incidence of Pneumocystis jirovecii pneumonia after temozolomide for CNS malignancies without prophylaxis.

Alexander J Neuwelt1, Tam M Nguyen, Rongwei Fu, Joseph Bubalo, Rose Marie Tyson, Cynthia Lacy, Seymur Gahramanov, Morad Nasseri, Penelope D Barnes, Edward A Neuwelt.   

Abstract

AIMS: Prophylaxis against Pneumocystis jiroveci pneumonia (PJP) is currently recommended for patients receiving chemoradiation with temozolomide for newly diagnosed glioblastoma multiforme. At our institution, PJP prophylaxis during temozolomide treatment has not been routinely given because of the paucity of supporting data. We investigated the rate of PJP infections in our patients. PATIENTS &
METHODS: We conducted a retrospective chart review of 240 brain tumor patients treated between 1999 and 2012 with temozolomide and no PJP prophylaxis, 127 of which received concurrent chemoradiation.
RESULTS: One in 240 patients (0.4%; 95% CI: 0.01-2.00; median total dose: 7375 mg/m(2); interquartile range: 1300) were diagnosed with PJP.
CONCLUSION: There was a <1% rate of PJP for brain tumor patients treated with temozolomide until progression without PJP prophylaxis.

Entities:  

Keywords:  Pneumocystis jirovecii; brain radiation; glioblastoma; temozolomide

Mesh:

Substances:

Year:  2014        PMID: 25286038      PMCID: PMC6124367          DOI: 10.2217/cns.14.24

Source DB:  PubMed          Journal:  CNS Oncol        ISSN: 2045-0907


  20 in total

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5.  Clinical features of glioma patients who develop pneumocystis pneumonia with temozolomide chemoradiotherapy.

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8.  Pneumocystis jirovecii prophylaxis in patients treated for high-grade gliomas: a survey among neuro-oncologists.

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