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