Molecular techniques have played an important role in demonstrating a
high level of heterogeneity among the different types of organisms whi
ch are collectively known as Pneumocystis carinii. Genetic heterogenei
ty has been observed in Pneumocystis organisms isolated from different
host species, suggesting that Pneumocystis infection is host-species
specific. On the basis of this generic divergence a provisional trinom
ial nomenclature has been adopted, in which different types of Pneumoc
ystis organisms are designated a 'special form'. Multiple special form
s of Pneumocystis have been detected in some host species, for example
in infected rat and ferret lungs, but not in human lungs. Lower level
s of genetic heterogeneity have been observed within each Pneumocystis
special form, and in particular in human-derived Pneumocystis. Analys
is of the genetic heterogeneity of populations of Pneumocystis is cont
ributing to the understanding of the epidemiology and pathophysiology
of this infection. (C) 1998 Federation of European Microbiological Soc
ieties. Published by Elsevier Science B.V. All rights reserved.