A CASE OF RESPIRATORY TRACT INFECTION FROM BORDETELLA HINZII IN AN IMMUNOCOMPETENT PATIENT
Sangya Sharma - Edward Via College of Osteopathic Medicine, Blacksburg, Virginia
Correspondence to: Kamal Masri, MD Pulmonary Disease/Critical Care Medicine Willis Knighton Health System, Shreveport, Louisiana Email: kmasrimd@gmail.com Phone: (318) 212- 8159
Kamal Masri - Department of Pulmonary Disease/Critical Care Medicine, Willis Knighton Health System
ABSTRACT Bordetella hinzii is a primarily zoonotic organism and rarely affects immunocompetent individuals. We report the case of a healthy 45 year old male who presented with chronic cough and dyspnea and was diagnosed with Bordetella hinzii infection of the lower lungs from imaging and bronchoscopy. He was then discharged on a course of antibiotic treatment.
1
9
2 8 5
3
6
Keywords: Bordetella pertussis, Bordetella hinzii, immunocompromised
CASE PRESENTATION A healthy 45 year old male presented with an ongoing history of cough and shortness of breath for four months. He had a history of recurrent sinusitis and seasonal allergies. He was placed on multiple course of oral antibiotics and steroids with partial improvement in his symptoms. His overall labs and urinalysis were unremarkable. Immunology/serology were negative for Aspergillus, Cryptococcus,
4
Tracheobronchial Tree
Figure 1. Ultrasound-guided bronchoscopy visualizing bilateral endobronchial segments
5
5
7
8
9
Left mainstem bronchus
Left mainstem bronchus
Left lower lobe
Trachea
Figure 1. Ultrasound-guided bronchoscopy visualizing bilateral endobronchial segm Figure 1. Ultrasound-guided bronchoscopy visualizing bilateral endobronchial segm
1
2
3
4
Trachea ltrasound-guided bronchoscopy visualizing bilateral endobronchial segments rtarsaos uo nu dn -dg- ug iudi edde db rbor no cnhc oh socsoc po yp yv ivsius aulai zl iizni gn gb ibl ai l taetrearla el ne dn od bo rbor no cnhc ihai la sl esge mg me ne tnst s 12 J LA MED SOC | VOL 174 | FALL 2022
Right mainstem bronchus
Right upper lobe
Right lower lobe
Made with FlippingBook Digital Publishing Software