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First Case Report of Community-Acquired Pneumonia due to Tsukamurella pulmonis
- Roger Maalouf, MD;
- Susanna B. Mierau, MD, DPhil;
- Thomas A. Moore, MD; and
- Anand Kaul, MD
- From the University of Kansas School of Medicine, Wichita, KS 67214, and Winfield, KS 67156.
Background: Tsukamurella species are gram-positive bacilli rarely cultured from humans. A review of the literature revealed fewer than 20 cases of infection with Tsukamurella species; most of these cases were bacteremia related to central-line infections (1).
Objective: To report what we believe is the first case of community-acquired pneumonia due to Tsukamurella pulmonis.
Case Report: A 76-year-old man was admitted with a 4-day history of fever, cough, and dyspnea. His medical history included non-Hodgkin lymphoma (in complete remission) and chronic obstructive pulmonary disease. His chest radiograph showed right lower-lobe and left hilar infiltrates. The diagnosis was community-acquired pneumonia, and the patient was treated empirically with ceftriaxone. Sputum was obtained for Gram stain and routine culture and for acid-fast bacilli (AFB) smear and culture. Sputum cultures grew penicillin-sensitive Streptococcus pneumoniae …
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