title: Severe Adenoviral Pneumonia in an Immunocompetent Host with Persistent Fevers Treated with Multiple Empiric Antibiotics for Presumed Bacterial Co-Infection: An Antibiotic Stewardship Perspective on De-Escalation Derailed.
abstract: We present a case of severe adenoviral pneumonia in a 20-year-old immunocompetent host with persistently high fevers. The patient was needlessly given multiple empiric antibiotics for non-existent bacterial co-infection. This case has important antibiotic stewardship lessons for practitioners in approaching fevers in the ICU.
authors.affiliation: Infectious Disease Division, Winthrop-University Hospital, 222 Station Plaza North (Suite #432), Mineola, New York, NY 11501, USA. bacunha@winthrop.org.|School of Medicine, State University of New York, Stony Brook, New York, NY 11794, USA. bacunha@winthrop.org.
authors.forename: Burke A
authors.initials: BA
authors.lastname: Cunha
authors.affiliation: Infectious Disease Division, Winthrop-University Hospital, 222 Station Plaza North (Suite #432), Mineola, New York, NY 11501, USA. jgian@winthrop.org.
authors.forename: John
authors.initials: J
authors.lastname: Gian
authors.affiliation: Infectious Disease Division, Winthrop-University Hospital, 222 Station Plaza North (Suite #432), Mineola, New York, NY 11501, USA. nklein@winthrop.org.|School of Medicine, State University of New York, Stony Brook, New York, NY 11794, USA. nklein@winthrop.org.
authors.forename: Natalie C
authors.initials: NC
authors.lastname: Klein
keywords: antibiotic de-escalation; benefits of fever; clinical significance of fever; conjunctival suffusion; empiric antibiotic therapy; viral and bacterial co-infection; viral pneumonia