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Uncommon pathogens in an immunocompetent host: respiratory isolation of Cunninghamella bertholletiae, Aspergillus niger, Staphylococcus pseudintermedius and adenovirus in a patient with necrotising pneumonia
  1. Christian Olivo Freites1,
  2. Hendrik Sy2,
  3. Patricia Miguez2 and
  4. James Salonia3
  1. 1Infectious Diseases, University of California Los Angeles, Los Angeles, California, USA
  2. 2Internal Medicine, Mount Sinai Health System, New York, New York, USA
  3. 3Pulmonary and Critical Care Medicine, Mount Sinai Health System, New York, New York, USA
  1. Correspondence to Dr Christian Olivo Freites; christianolivofreites{at}gmail.com

Abstract

We present the unusual case of a 60-year-old immunocompetent woman with chronic obstructive pulmonary disease who developed a necrotising pneumonia with isolation of Cunninghamella bertholletiae, Aspergillus niger, Staphylococcus pseudintermedius and adenovirus. The patient recovered with antimicrobial therapy and supportive care in the intensive care unit. The current literature on diagnosis and treatment of these pathogens is reviewed.

  • pneumonia (respiratory medicine)
  • infectious diseases
  • pneumonia (infectious disease)
  • intensive care

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Footnotes

  • Twitter @HendrikSy3

  • Contributors HS: data collection and writing. PM: literature review. COF: writing, literature review and identification of the case. JS: editing and clinical management of the case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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