Community acquired pneumonia due to Klebsiella pneumoniae and Burkholderia pseudomallei co-infection in a diabetic patient: a case report

Authors

  • Azlan Monir Resident Medical Officer, Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Rabeya Mustary Bubly Senior Medical Officer, Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Tufayel Ahmed Chowdhury Assistant Professor, Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Mehruba Alam Ananna Associate Professor, Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Muhammad Abdur Rahim Associate Professor, Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh
  • Lovely Barai Professor, Department of Microbiology, BIRDEM General Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/birdem.v13i3.68823

Keywords:

community acquired pneumonia, non-resolving pneumonia, melioidosis, Burkholderia pseudomallei

Abstract

A 63-year-old diabetic man from Sherpur district, presented with 20-day history of fever and productive cough without any haemoptysis. Initially he was diagnosed as having pneumonia caused by Klebsiella pneumoniae and had been receiving sensitive antibiotic without satisfactory improvement. Clinical evaluation later revealed that, he was febrile, tachycardic, tachypneic and anaemic. Chest examination findings were consistent with consolidation at right upper chest. Further diagnostic work-up confirmed pneumonia due to co-infection by Klebsiella pneumoniae and Burkholderia pseudomallei. He tested positive for SARS-CoV-2 infection. Antibiotic was revised and his response to treatment was satisfactory till the latest follow-up. This case is reported to stress the importance for searching causes for non-resolution of pneumonia.

BIRDEM Med J 2023; 13(3): 152-154

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Published

2023-09-27

How to Cite

Monir, A. ., Bubly, R. M., Chowdhury, T. A. ., Ananna, M. A. ., Rahim, M. A. ., & Barai, L. . (2023). Community acquired pneumonia due to Klebsiella pneumoniae and Burkholderia pseudomallei co-infection in a diabetic patient: a case report . BIRDEM Medical Journal, 13(3), 152–154. https://doi.org/10.3329/birdem.v13i3.68823

Issue

Vol. 13 No. 3 (2023)

Section

Case Reports