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Published on: March 17, 2014
[Severe pneumonia caused by Bordetella bronchiseptica]
T Zuabi1, A Faivisevitz, M L Alkan
1Yoseftal Hospital, Eilat.
Abstract:
Bordetella bronchiseptica rarely causes disease in man, and is an unusual pathogen in animals. It causes a pertussis-like syndrome, but pneumonia and sepsis have been described in the immunocompromised as well as in the immunocompetent. A 53-year-old man with adult-onset diabetes and healed pulmonary tuberculosis presented with lobar pneumonia and rapidly developed septic shock with adult respiratory distress syndrome. He responded well to the combination of piperacillin-tazobactam.
Insights
Bordetella bronchiseptica, a rare pathogen, can cause severe pneumonia and septic shock in humans, even those who are immunocompetent. Prompt antibiotic treatment with piperacillin-tazobactam led to a positive outcome in a patient with diabetes and tuberculosis.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Pulmonology
Background:
- Bordetella bronchiseptica is an uncommon cause of human illness, typically presenting with a pertussis-like syndrome.
- While often associated with respiratory symptoms, it can lead to severe conditions like pneumonia and sepsis, particularly in immunocompromised individuals.
Observation:
- A 53-year-old male patient with a history of adult-onset diabetes and treated pulmonary tuberculosis presented with lobar pneumonia.
- The patient rapidly progressed to septic shock and adult respiratory distress syndrome.
Findings:
- The patient's condition significantly improved following treatment with a combination of piperacillin-tazobactam.
- This case highlights the potential severity of Bordetella bronchiseptica infections in individuals with underlying health conditions.
Implications:
- Clinicians should consider Bordetella bronchiseptica in the differential diagnosis of severe pneumonia and sepsis, especially in patients with risk factors.
- Effective antibiotic therapy, such as piperacillin-tazobactam, is crucial for managing severe B. bronchiseptica infections.
- Further research may elucidate the specific mechanisms underlying B. bronchiseptica pathogenesis in diverse patient populations.
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