We report the case of a 35-year-old quadriplegic male with confirmed Bordetella bronchiseptica pneumonia, manifesting with acute hypoxic respiratory failure on a background of chronic hypercarbia requiring mechanical ventilation in intensive care.
B. bronchiseptica are known to colonise the upper respiratory tracts of many mammals but are very rarely responsible for acute respiratory tract infections in humans.
A review of the literature suggests preponderance for immunocompromised or immunoincompetent patients who have experienced environmental exposure to colonised animals.⇓ The disease pattern of B. bronchiseptica infection is non-uniform and while it is rarely described as a commensal or colonising organism, very few case reports describe severe respiratory infections.
- adult intensive care
- pneumonia (infectious disease)
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Contributors JC, lead author, was responsible for the concept and design of article, including composition of literature review and clinical summary and collection of the inset figure and submission of final draft. CMcG, co-author, was responsible for the care of the patient while in ICU, Craigavon, and contributed towards the clinical summary and provided ideas for literature review, including review of nebulised gentamicin; also reviewed various drafts and contributed to editing. CMA, co-author, was the supervising consultant on this project and provided advice on article structure and directed the literature review. He also was responsible for the delivery of inpatient care for this patient, was central to diagnostic and management decisions and provided approval of the final version submitted. All the authors agreed to be accountable for the article and ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.
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.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.