We report what we believe is the first case of community-acquired pneumonia (CAP) due to Burkholderia cepacia (formerly Pseudomonas cepacia) described in an immunocompetent adult. Although well recognized as an opportunistic pulmonary pathogen, particularly in patients with cystic fibrosis, the only prior report of pneumonia due to B cepacia in an immunocompetent host occurred in a 14-year-old boy. Although no underlying pulmonary disease was apparent, the possibility of underlying cystic fibrosis was raised.
A 32-year-old African-American man presented to our hospital with a 1-week history of fever, cough productive of thick yellow-green sputum, dyspnea, nausea, and vomiting. Mild hypertension, treated with fosinopril, was the patient's only prior medical condition, and he denied alcohol or cigarette consumption. He admitted to occasional marijuana use but denied any other illicit drug use. He was employed as a cook and lived with his wife and child. There was no family history of any pulmonary illness, and he had had no recent contact with anyone with any pulmonary illness. actos diabetes medicine
On examination, the patient had a temperature of 38.4°C, a heart rate of 90 beats per minute, a respiratory rate of 22 breaths per minute, and a BP of 110/68 mm Hg.
