title: Fatal pneumonia caused by Burkholderia cepacia 9 months after resection of aspergilloma.
abstract: A 69-year-old man developed an episode of severe community-acquired pneumonia 9 months after resection of aspergilloma. Although Aspergillus fumigatus was also isolated in the pleural cavity, it did not invade the remaining lung parenchyma. The patient developed progressive bilateral pneumonia leading to death from respiratory failure. Burkholderia cepacia was considered as prime pathogen, as it was repeatedly cultured from sputum and tracheal secretions, as well as the autopsy lung. B. cepacia is resistant to most antibiotics, and seldom causes pneumonia in patients without cystic fibrosis or chronic granulomatous disease. The precise reason that this apparently immunocompetent patient developed B. cepacia pneumonia remains unknown.
authors.affiliation: First Department of Internal Medicine, Gunma University School of Medicine, Showa-machi, Maebashi, Japan. tamotsui@showa.gunma-u.ac.jp
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Ishizuka
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Oyama
authors.forename: Minoru
authors.initials: M
authors.lastname: Sato
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hisada
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takagi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Hamada
authors.forename: Takao
authors.initials: T
authors.lastname: Kimura
authors.forename: Kenji
authors.initials: K
authors.lastname: Kashiwabara
authors.forename: Masatomo
authors.initials: M
authors.lastname: Mori
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000150:complications* / Q000601:surgery; D019121:Burkholderia Infections / Q000175:diagnosis / Q000209:etiology*; D016956:Burkholderia cepacia; D017714:Community-Acquired Infections / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D018410:Pneumonia, Bacterial / Q000175:diagnosis / Q000209:etiology*; D011859:Radiography