https://doi.org/10.4081/monaldi.2023.2683
Fungal pneumonia concealing bacterial pneumonia: a diagnostic dilemma
Submitted: June 26, 2023
Accepted: August 1, 2023
Published: September 4, 2023
Accepted: August 1, 2023
Abstract Views: 429
PDF: 78
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We describe the case of a 61-year-old diabetic man affected by Achromobacter denitrificans. He was immunocompetent and did not have any past history of chronic lung disease. The patient was treated with sensitive antibiotic meropenem 1 g, three times daily. To our knowledge, only one case of A. denitrificans pneumonia has been reported from the Indian subcontinent in an individual with underlying lung disease and none in a healthy person.
Swenson CE, Sadikot RT. Achromobacter respiratory infections. Ann Am Thorac Soc 2015;12:252-8.
Spear JB, Fuhrer J, Kirby BD. Achromobacter xylosoxidans (Alcaligenes xylosoxidans subsp. xylosoxidans) bacteremia associated with a well-water source: case report and review of the literature. J Clin Microbiol 1988;26:598-9.
Stepman G, Dabb K, Khan IA, et al. Bilateral pneumonia in a patient with chronic bronchiectasis caused by Achromobacter xylosoxidans subspecies denitrificans. Cureus 2020;12:e7381.
Aundhakar S, Mane M, Bharadiya A, Pawar S. Watch out! Pneumonia secondary to Achromobacter denitrificans. Ann Med Health Sci Res 2014;4:S22-4.
Habib S, Fuca N, Azam M, et al. Achromobacter xylosoxidans/denitrificans bacteremia and subsequent fatal Escherichia coli/Streptococcus anginosus pleural empyema. Respir Med Case Rep 2018;25:311-3.
Awadh H, Mansour M, Aqtash O, Shweihat Y. Pneumonia due to a rare pathogen: Achromobacter xylosoxidans, subspecies denitrificans. Case Rep Infect Dis 2017;2017:3969682.
Duggan JM, Goldstein SJ, Chenoweth CE, et al. Achromobacter xylosoxidans bacteremia: report of four cases and review of the literature. Clin Infect Dis 1996;23:569-76.
How to Cite
Joseph, Christie George, Madhusmita Mohanty Mohapatra, Manju Rajaram, Jayabharathi Palanivel, and Balasubramanian Velappan. 2023. “Fungal Pneumonia Concealing Bacterial Pneumonia: A Diagnostic Dilemma”. Monaldi Archives for Chest Disease 94 (2). https://doi.org/10.4081/monaldi.2023.2683.
Copyright (c) 2023 The Author(s)
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