title: A rare case of community acquired Burkholderia cepacia infection presenting as pyopneumothorax in an immunocompetent individual.
abstract: Burkholderia cepacia (B. cepacia) infection is rarely reported in an immunocompetent host. It is a well known occurence in patients with cystic fibrosis and chronic granulomatous disease where it increases both morbidity and mortality. It has also been included in the list of organisms causing nosocomial infections in an immunocompetent host, most of them transmitted from the immunocompromised patient in which this organism harbors. We report a rare case of isolation of B. cepacia from the bronchoalveolar lavage fluid of an immunocompetent agriculturist who presented with productive cough and fever associated with a pyopneumothorax. This is the first case of community acquired infection reported in an immunocompetent person in India.
authors.affiliation: Department of Medicine, Kasturba Medical College, Manipal.
authors.forename: Suman S
authors.initials: SS
authors.lastname: Karanth
authors.forename: Hariharan
authors.initials: H
authors.lastname: Regunath
authors.forename: Kiran
authors.initials: K
authors.lastname: Chawla
authors.forename: Mukhyaprana
authors.initials: M
authors.lastname: Prabhu
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017963:Azithromycin / Q000627:therapeutic use; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D019121:Burkholderia Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000635:transmission*; D016956:Burkholderia cepacia / Q000187:drug effects* / Q000302:isolation & purification; D002442:Ceftazidime / Q000627:therapeutic use; D015296:Ceftizoxime / Q000627:therapeutic use; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy*; D024901:Drug Resistance, Multiple, Bacterial; D006801:Humans; D007121:Immunocompetence; D007194:India; D008297:Male; D011030:Pneumothorax / Q000150:complications*
chemical_list: D000900:Anti-Bacterial Agents; D017963:Azithromycin; D002442:Ceftazidime; D015296:Ceftizoxime
keywords: Agriculturist; Burkholderia cepacia; Community acquired; Immunocompetent; Pyopneumothorax