Fungal pneumonia concealing bacterial pneumonia: a diagnostic dilemma

Submitted: June 26, 2023
Accepted: August 1, 2023
Published: September 4, 2023
Abstract Views: 425
PDF: 78
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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.

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Citations

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.
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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.
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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.

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