Burkholderia cepacia: An unusual cause of pneumonia


Case Report

Author Details : Prasanna Kumar T, Manjunath H K, Arjun A S*

Volume : 6, Issue : 4, Year : 2021

Article Page : 249-252

https://doi.org/10.18231/j.ijirm.2021.054



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Abstract

Introduction: Burkholderia Cepacia is a gram negative organism, an uncommon cause of pneumonia. When isolated, it usually represents colonisation. In the presence of immunocompromising conditions, it can cause disease, ranging from mild illness to the highly fatal Cepacia syndrome. The organism is intrinsically resistant to many antibiotics.
Case Presentation: We report a 57 years old male farmer, who has diabetes mellitus and bronchial asthma, who presented with a acute history of high grade fever, pain abdomen and cough. He was diagnosed with a ruptured liver abscess, with the infection spreading to the right lower lobe. Laparotomy was performed. Pus culture grew Pseudomonas aeruginosa. He improved upon antibiotic therapy, only to return after one month with severe cough, chest X-ray revealing a lung abscess in the right lower lobe. Bronchoalveolar lavage culture grew Burkholderia cepacia, and sensitive antibiotics were initiated, however the patient succumbed to the illness. The implicated source of the organism was the nebulisation solution which he was using regularly.
Conclusions: Emphasis should be laid on the need for improved aseptic practices while using medical solutions at either hospital or home setting. An index of suspicion may guide optimal antibiotic prescription practices in susceptible individuals.
 

Keywords: Burkholderia cepacia, Pneumonia, Cepacia Syndrome


How to cite : Prasanna Kumar T, Manjunath H K, Arjun A S, Burkholderia cepacia: An unusual cause of pneumonia. IP Indian J Immunol Respir Med 2021;6(4):249-252


Copyright © 2021 by author(s) and IP Indian J Immunol Respir Med. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (creativecommons.org)





Article History

Received : 17-09-2021

Accepted : 22-12-2021

Available online : 31-12-2021


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Article DOI

https://doi.org/10.18231/j.ijirm.2021.054


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