First test | Second test | Results | |||
IF | PCR | Total subjects | Definitive PCP (IF test positive) | Possible PCP | PCP excluded |
Positive | Positive | 71 (100) | 71 (100) | 0 | 0 |
Negative | 0 | 0 | |||
Negative | Positive | 18 (10.5) | 0 | 3 (16.6) | 15 (83.3) |
Negative | 153 (89.5) | 0 | 1 (0.65)# | 152 (99.3) |
Data are presented as n (%). PCP: Pneumocystitis pneumonia. #: PCP could not be formally ruled out in only one patient with rheumatoid arthritis and lung involvement. The treating physicians prescribed 3-week therapy against Pneumocystis jirovecii, but judged the acute lung disease as “more likely to be caused by autoimmune disease exacerbation rather than PCP” in the discharge letter. Retrospective reviewers unaware of the PCR result agreed with this interpretation.