Fairhead Lee, Vardanega John, Pandey Rakesh, Smith Simon
Department of Medicine, Cairns Hospital, Cairns, QLD 4870, PO Box 902, Australia.
IDCases. 2020 May 23;21:e00833. doi: 10.1016/j.idcr.2020.e00833. eCollection 2020.
We report the case of a 61-year-old man from northern Australia with concurrent community-onset complex and 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.
我们报告了一名来自澳大利亚北部的61岁男性病例，该患者同时发生社区获得性复杂性感染和菌血症，表现为严重的热带肺炎，需要重症监护病房的支持。肺炎并发L3/4椎间盘炎和椎体骨髓炎，推测由类鼻疽杆菌病引起。他的危险因素包括慢性肺病和使用依那西普导致的免疫抑制。这例并发感染病例突出了两种感染相似的危险因素、表现和流行病学特征，强调了准确微生物鉴定的重要性，并强化了澳大利亚目前针对严重热带肺炎的经验性抗菌治疗建议。
