Severe Pneumocysits jirovecii pneumonia in a patient allergic to Biseptol after kidney transplantation

ABSTRACT Introduction: Pneumocystis jirovecii may cause pneumonia in patients treated with immunosuppression. The clinical course is varied, from mild to severe, similar to acute respiratory distress syndrome with treatment in an intensive care unit. A case report: In the article we present the case of a 59-year-old female after the third cadaveric kidney transplantation with severe, complicated pneumonia caused by this organism, who was additionally allergic to Co-trimoxazole (Biseptol). We present brief recommendations for prophylaxis and alternative drugs to Biseptol, which can be used in prophylactic treatment in such individuals.