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The patient recovered well on ventilator and circulatory support despite a long weaning process complicated by sequelae common to pneumocystis pneumonia. Following initialisation of antiretroviral therapy and step-down from an intensive care setting, the patient required further prolonged hospital stay for rehabilitation and mental health support before being discharged. This case reviews the novel pharmacological therapies and respiratory support strategies used in cases of pneumocystis pneumonia, including the clinical and psychological sequelae that may follow.<\/jats:p>","DOI":"10.1136\/bcr-2017-221214","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T11:25:37Z","timestamp":1507116337000},"page":"bcr-2017-221214","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["HIV-related<i>Pneumocystis jirovecii<\/i>pneumonia managed with caspofungin and veno-venous extracorporeal membrane oxygenation rescue therapy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Nathaniel","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lawrence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brijesh","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephane","family":"Ledot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,4]]},"reference":[{"key":"2025042712461128000_2017.oct03_1.bcr-2017-221214.1","unstructured":"Galloway R , Guerra M , Shadomy S . 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