The Pneumonia That Would Not Go Away - Abstract
A seven-year-old previously healthy Hispanic male presented with persistent fevers and a nonproductive cough. After an initial course of outpatient antibiotics, the patient was admitted to the hospital for further management of a right upper lobe consolidation. Initial bronchoscopy revealed a high lipid laden macrophage index. The patient improved after prolonged intravenous antibiotics and was discharged home on further oral antibiotics. Subsequently the fevers recurred and the patient was readmitted for worsening of his right upper lobe consolidation. A repeat bronchoscopy was positive for rare Burkholderia cepacia group. Given the new finding, further workup revealed an underlying diagnosis of Chronic Granulomatous Disease.