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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

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Infectious Disease Division, Winthrop-University Hospital, 222 Station Plaza North (Suite #432), Mineola, New York, NY 11501, USA
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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
J. Clin. Med. 2017, 6(4), 42; https://doi.org/10.3390/jcm6040042
Received: 13 January 2017 / Revised: 24 March 2017 / Accepted: 30 March 2017 / Published: 4 April 2017
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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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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