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A Severe Community-Acquired Pneumonia Caused by Dual-Culprit Pathogens, Streptococcus pneumoniae and Klebsiella pneumoniae

Toala, Iván MD*; Christensen, Diana MD†; Huang, Anna MD†; Ramírez, Julio MD, FACP†

Infectious Diseases in Clinical Practice:
doi: 10.1097/01.idc.0000179880.75184.c3
Case Reports

Abstract: A case of Streptococcus pneumoniae combined with Klebsiella pneumoniae as a mixed infection in a patient with community-acquired pneumonia is presented. Community-acquired pneumonia due to combined etiology should be considered in patients who develop clinical deterioration on pathogen-specific therapy against S. pneumoniae.

Author Information

*Division of Infectious Diseases, Hospital "Dr Arnulfo Arias Madrid," Panama City, Panama; and †Division of Infectious Diseases, University of Louisville Hospital, Louisville, KY.

Address correspondence and reprint requests to Julio Ramirez, MD, FACP, Division of Infectious Diseases, 512 South Hancock St, Carmichael Bldg, Room 208-D, Louisville, KY 40202. E-mail:

© 2006 Lippincott Williams & Wilkins, Inc.