bacteremia with coinfection of pneumonia: case report and literature review.

INTRODUCTION

We describe an immunocompromised patient with bacteremia and coinfection of pneumonia.

CASE DESCRIPTION

A 75-year-old male was admitted to our hospital complaining of persistent fever with general malaise. His medical history showed that he had diabetes mellitus (HbA1C 9.2%). A chest computed tomography (CT) showed left upper lung consolidation . Two sets of blood culture at admission finally showed . Moreover, three transbronchoscopy washing specimen cultures revealed .

DISCUSSION AND EVALUATION

The organism was identified using conventional biochemical identification methods, PCR-restriction DNA fragment analysis, and 16S rRNA gene sequencing. The clinical mycobacterial isolates were identified to the species level by combining Polymerase Chain Reaction (PCR) with an oligonucleotide microarray to detect the amplicons.

CONCLUSION

According to our literature review, our patient's case was the first of a coinfection with and . Prolonged antibiotic treatment and underlying disease control are necessary for this type of patient.