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

Burke A. Cunha,John Gian,Natalie C. Klein

JOURNAL OF CLINICAL MEDICINE（2017）

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摘要

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.

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关键词

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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