Division of Infectious Diseases

Case of the Month - November 2019

Case of the Month - November 2019 


A 59 year old man with HIV infection, COPD, and heart failure developed shortness of breath.   He had been hospitalized two weeks earlier for pneumonia and a COPD exacerbation and was treated with ceftriaxone and then cefpodoxime to complete a 7 day course.  His shortness of breath persisted after he was discharged, so he was re-hospitalized.  He also had a cough with clear sputum but no fever.  The patient takes prednisone 20 mg daily, albuterol and budeonide-formoterol inhalers several times a day, trimethoprim-sulfamethoxazole 160-800 three times a week, voriconazole 200 mg daily, and a variety of cardiac medications.
 

  

Despite broad-spectrum antibiotics, he improved only slightly, and eventually had bronchoscopy with a lung biopsy.  GMS stained lung sections are shown in the figures (1000X). 

  

What is the organism? 

  

 

GMS stain, 1000X magnification (above and below) 

 

 

  

 

ASP News

Antimicrobial Stewardship Program Designated as Center of Excellence by IDSA
The Antimicrobial Stewardship Program (ASP) at Montefiore, led by medical director Priya Nori, MD, has been designated as a Center for Excellence by The Infectious Diseases Society of America (IDSA). It is among 25 academic sites in the nation – and one of few in New York City, to receive this prestigious recognition, which was announced on August 15, 2018.

 

Conferences & Seminars

No Grand Rounds this summer

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