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Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia

We report the case of a 61-year-old man from northern Australia with concurrent community-onset Acinetobacter baumannii complex and Burkholderia pseudomallei bacteremia presenting as severe tropical pneumonia requiring intensive care unit support. The pneumonia was complicated by L3/4 discitis and v...

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Detalles Bibliográficos
Autores principales: Fairhead, Lee, Vardanega, John, Pandey, Rakesh, Smith, Simon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264049/
https://www.ncbi.nlm.nih.gov/pubmed/32509526
http://dx.doi.org/10.1016/j.idcr.2020.e00833
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author Fairhead, Lee
Vardanega, John
Pandey, Rakesh
Smith, Simon
author_facet Fairhead, Lee
Vardanega, John
Pandey, Rakesh
Smith, Simon
author_sort Fairhead, Lee
collection PubMed
description We report the case of a 61-year-old man from northern Australia with concurrent community-onset Acinetobacter baumannii complex and Burkholderia pseudomallei bacteremia presenting as severe tropical pneumonia requiring intensive care unit support. The pneumonia was complicated by L3/4 discitis and vertebral osteomyelitis presumed to be due to melioidosis. His risk factors included chronic lung disease and immunosuppression with etanercept. This case of concurrent infection highlights the similar risk factors, presentation and epidemiology of both infections, emphasises the importance of accurate microbiologic identification and reinforces the current Australian empiric antimicrobial treatment recommendations for severe tropical pneumonia.
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spelling pubmed-72640492020-06-05 Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia Fairhead, Lee Vardanega, John Pandey, Rakesh Smith, Simon IDCases Article We report the case of a 61-year-old man from northern Australia with concurrent community-onset Acinetobacter baumannii complex and Burkholderia pseudomallei bacteremia presenting as severe tropical pneumonia requiring intensive care unit support. The pneumonia was complicated by L3/4 discitis and vertebral osteomyelitis presumed to be due to melioidosis. His risk factors included chronic lung disease and immunosuppression with etanercept. This case of concurrent infection highlights the similar risk factors, presentation and epidemiology of both infections, emphasises the importance of accurate microbiologic identification and reinforces the current Australian empiric antimicrobial treatment recommendations for severe tropical pneumonia. Elsevier 2020-05-23 /pmc/articles/PMC7264049/ /pubmed/32509526 http://dx.doi.org/10.1016/j.idcr.2020.e00833 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Fairhead, Lee
Vardanega, John
Pandey, Rakesh
Smith, Simon
Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia
title Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia
title_full Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia
title_fullStr Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia
title_full_unstemmed Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia
title_short Polymicrobial community-acquired Acinetobacter baumannii and Burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern Australia
title_sort polymicrobial community-acquired acinetobacter baumannii and burkholderia pseudomallei bacteremia: opportunistic infections with similar risk factors in northern australia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264049/
https://www.ncbi.nlm.nih.gov/pubmed/32509526
http://dx.doi.org/10.1016/j.idcr.2020.e00833
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