Rapid Progressive Antibiotic Resistant Pneumonia as a Challenging Case in Remote Area: Is it Antibiotic Resistant Bacteria or Fungal Infection?
Abstract
Introduction : Fungal pneumonia is a rare disease and difficult to diagnose, this disease could lead to misdiagnosis with antibiotic resistant bacterial pneumonia.
Case Presentation : We present a 53 years old woman who was suspected with fungal pneumonia and bacterial pneumonia as differential diagnosis who failed with adequate empirical antibiotic regiment. We use fluconazole as drug of choice due to lack of diagnostic tools to identify the causing microorganism, and limited source of medication.
Discussion : Fungal pneumonia is a rare disease and difficult to diagnose, the difficulties is due to wide range of symptom from asymptomatic to severe atypical symptom. Presence of risk factor and inability to treat with antibiotic should be make a suspicion to fungal pneumonia. Radiograph finding of ground-glass opacity could help to make the diagnosis, followed with microbiologic examination. The treatment should be considered causative agent and patient conditions.
Conclusion : Antibiotic unresponsive pneumonia, should be considered as fungal pneumonia as differential diagnosis, adequate treatment and examination including radiographic and microbiology should be performed.Keywords
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DOI: 10.24815/jks.v25i1.40435
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