Uncommon pathogens in an immunocompetent host: respiratory isolation of Cunninghamella bertholletiae, Aspergillus niger, Staphylococcus pseudintermedius and adenovirus in a patient with necrotising pneumonia

BMJ Case Rep. 2022 Jan 6;15(1):e240484. doi: 10.1136/bcr-2020-240484.

Abstract

We present the unusual case of a 60-year-old immunocompetent woman with chronic obstructive pulmonary disease who developed a necrotising pneumonia with isolation of Cunninghamella bertholletiae, Aspergillus niger, Staphylococcus pseudintermedius and adenovirus. The patient recovered with antimicrobial therapy and supportive care in the intensive care unit. The current literature on diagnosis and treatment of these pathogens is reviewed.

Keywords: infectious diseases; intensive care; pneumonia (infectious disease); pneumonia (respiratory medicine).

Publication types

  • Case Reports

MeSH terms

  • Adenoviridae
  • Aspergillus niger
  • Cunninghamella
  • Female
  • Humans
  • Middle Aged
  • Mucormycosis*
  • Pneumonia, Necrotizing*
  • Staphylococcus

Supplementary concepts

  • Cunninghamella bertholletiae
  • Staphylococcus pseudintermedius