{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:10:02Z","timestamp":1756282202928,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>We report the case of a 64-year-old man who had received a heart transplant 9 years previously and was on long-term immunosuppression. He was referred to the intensive care unit of our district general hospital with acute respiratory distress and was diagnosed with community-acquired pneumonia. He was treated with antimicrobials, whose spectrum was extended empirically to cover <jats:italic>Pneumocystis jiroveci<\/jats:italic>, and respiratory support was provided with continuous positive airway pressure (CPAP). PCR analysis subsequently confirmed a diagnosis of pneumocystis pneumonia (PCP). Despite appropriate therapy the patient unfortunately died 8 days after admission to the unit. To the author's knowledge, this is the first report in the literature of such a late presentation of PCP after cardiac transplantation. We discuss current diagnostic and treatment strategies for PCP.<\/jats:p>","DOI":"10.1136\/bcr.06.2010.3111","type":"journal-article","created":{"date-parts":[[2010,10,22]],"date-time":"2010-10-22T12:34:46Z","timestamp":1287750886000},"page":"bcr0620103111","source":"Crossref","is-referenced-by-count":3,"title":["Late presentation of <i>Pneumocystis jiroveci<\/i> pneumonia after cardiac transplantation"],"prefix":"10.1136","volume":"2010","author":[{"given":"L R","family":"Craker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,10,22]]},"reference":[{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-2498(03)00186-4"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000149745.83186.89"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2009.08.018"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.4","doi-asserted-by":"publisher","DOI":"10.1086\/514649"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.5","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199711000-00004"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.6","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181aad256"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra032588"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2009.02.005"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.9","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.2.573"},{"key":"2025082700294512000_2010.oct22_1.bcr0620103111.10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.113.5.1215"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.06.2010.3111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:29:53Z","timestamp":1756279793000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.06.2010.3111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":10,"alternative-id":["10.1136\/bcr.06.2010.3111"],"URL":"https:\/\/doi.org\/10.1136\/bcr.06.2010.3111","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2010]]}}}