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J. Clin. Med. 2017, 6(4), 42; doi:10.3390/jcm6040042

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

1
Infectious Disease Division, Winthrop-University Hospital, 222 Station Plaza North (Suite #432), Mineola, New York, NY 11501, USA
2
School of Medicine, State University of New York, Stony Brook, New York, NY 11794, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Nazir Savji
Received: 13 January 2017 / Revised: 24 March 2017 / Accepted: 30 March 2017 / Published: 4 April 2017
View Full-Text   |   Download PDF [379 KB, uploaded 4 April 2017]   |  

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. View Full-Text
Keywords: viral pneumonia; conjunctival suffusion; clinical significance of fever; benefits of fever; empiric antibiotic therapy; antibiotic de-escalation; viral and bacterial co-infection viral pneumonia; conjunctival suffusion; clinical significance of fever; benefits of fever; empiric antibiotic therapy; antibiotic de-escalation; viral and bacterial co-infection
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cunha, B.A.; Gian, J.; Klein, N.C. 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. J. Clin. Med. 2017, 6, 42.

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