{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:23:19Z","timestamp":1778178199859,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2013,9,30]],"date-time":"2013-09-30T00:00:00Z","timestamp":1380499200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p>We report 3 cases of pneumocystis pneumonia (PCP) in patients with advanced cancer who received palliative care. All patients received long-term steroid therapy for symptom management. A diagnosis of PCP was based on clinical symptoms and a positive Pneumocystis jiroveci polymerase chain reaction test from induced sputum specimens. Despite appropriate treatment, only 1 patient recovered from PCP. Long-term steroid, often prescribed in palliative care settings, is the most common risk factor for PCP in non-HIV patients. Pneumocystis pneumonia may cause distressing symptoms such as severe dyspnea, and the mortality rate is high. Therefore, it is important to consider PCP prophylaxis for high-risk patients and to diagnose PCP early and provide appropriate treatment to alleviate PCP-related symptoms and avert unnecessary shortening of a patient\u2019s life expectancy.<\/jats:p>","DOI":"10.1177\/1049909113504238","type":"journal-article","created":{"date-parts":[[2013,10,1]],"date-time":"2013-10-01T04:07:14Z","timestamp":1380600434000},"page":"857-861","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Pneumocystis Pneumonia in Patients Treated With Long-Term Steroid Therapy for Symptom Palliation"],"prefix":"10.1177","volume":"31","author":[{"given":"Takashi","family":"Yamaguchi","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine, Teine Keijinkai Hospital, Sapporo, Japan"},{"name":"Palliative Care Team, Teine Keijinkai Hospital, Sapporo, Japan"},{"name":"Department of Palliative Medicine, Kobe 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