期刊
PEDIATRIC PULMONOLOGY
卷 53, 期 7, 页码 E21-E23出版社
WILEY
DOI: 10.1002/ppul.24043
关键词
cystic fibrosis; infections; Inquilinus limosus; MRSA; nontuberculous mycobacterium
资金
- NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES [UL1TR001417] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [P30DK072482] Funding Source: NIH RePORTER
- NCATS NIH HHS [UL1 TR001417] Funding Source: Medline
- NIDDK NIH HHS [P30 DK072482] Funding Source: Medline
PresentationPatient is a 6-year-old male with CF, MRSA colonization, and pancreatic insufficiency that presented with worsening ppFEV1 and systemic symptoms despite multiple interventions. BAL grew NTM, Stenotrophomonas maltophilia, and Inquilinus limosus, a rare organism found in patients with CF. CourseI. limosus treatment was deferred. Despite treatment of other pathogens, symptoms worsened. I. limosus was targeted with meropenem, amikacin, and ciprofloxacin along with clindamycin for MRSA colonization. Within weeks, symptoms had resolved with ppFEV1 improvement. DiscussionThis case discusses the importance of a rare organism in the CF population. Targeting I. limosus was key to recovery, revealing its potential pathogenicity.
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