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[Corynebacterium pseudodiphtheriticum causing severe pneumonia in secondary immunoglobulin deficiency]
D Gompelmann1, J Kappes, C P Heussel
1Pneumologie und Beatmungsmedizin, Thoraxklinik Heidelberg. daniela.gompelmann@thoraxklinik-heidelberg.de
Background:
Corynebacterium pseudodiphtheriticum is of increasing importance because of the rising number of immunocompromised patients. Pneumonia, but also endocarditis, urinary tract infections or keratitis can be caused by this bacteria in case of immunosuppression. Taking corynebacterium pseudodiphtheriticum into consideration as causitive agent provides for a fast onset of targeted antibiotic therapy.
History And Findings:
A 69-year-old man with immunoglobulin deficiency due to a chronic lymphocytic leukemia presented with typical clinical, laboratory and imaging evidence of pneumonia.
Diagnosis, Treatment And Course:
Corynebacterium pseudodiphtheriticum was detected as causative agent. After a prolongated course targeted antibiotic therapy and immunoglobulin substitution resulted in full recovery of the patient.
Conclusion:
In immunocompromised patients Corynebacterium pseudodiphtheriticum should be taken into consideration as causative bacterium of pneumonia. Especially, immunoglobuline deficiency seems to be associated with pneumonia caused by Corynebacterium pseudodiphtheriticum. Therefore, immunoglobulin substitution as well as a targeted antibiotic therapy should be considered.
Insights
Corynebacterium pseudodiphtheriticum can cause pneumonia in immunocompromised patients, particularly those with immunoglobulin deficiency. Prompt diagnosis and targeted antibiotic therapy with immunoglobulin substitution lead to recovery.
Area of Science:
- Medical Microbiology
- Immunology
Context:
- Rising incidence of immunocompromised patients.
- Increasing clinical significance of Corynebacterium pseudodiphtheriticum infections.
- Potential for severe infections including pneumonia, endocarditis, UTIs, and keratitis.
Purpose:
- To highlight the role of Corynebacterium pseudodiphtheriticum as a pathogen in immunocompromised individuals.
- To emphasize the association between immunoglobulin deficiency and pneumonia caused by this bacterium.
- To advocate for timely consideration of Corynebacterium pseudodiphtheriticum in diagnosing pneumonia in susceptible populations.
Summary:
- A 69-year-old male with chronic lymphocytic leukemia and immunoglobulin deficiency presented with pneumonia.
- Corynebacterium pseudodiphtheriticum was identified as the causative agent.
- Successful treatment involved targeted antibiotic therapy and immunoglobulin substitution, leading to full recovery.
Impact:
- Informing clinicians about the potential of Corynebacterium pseudodiphtheriticum to cause pneumonia in immunocompromised hosts.
- Guiding diagnostic and therapeutic strategies for pneumonia in patients with immunoglobulin deficiencies.
- Improving patient outcomes through early recognition and appropriate management of rare bacterial infections.
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