Subclinical community ‐acquired Acinetobacter pneumonia associated with mature cystic teratoma masquerading as lung abscess

We hereby report a case of subclinical community ‐acquiredAcinetobacter pneumonia in association with a mature cystic teratoma masquerading as a lung abscess. A 22 ‐year‐old lady presented with fever and right pleuritic chest pain with chest X‐ray showing a right suprahilar shadow. Her symptoms largely subsided with antibiotic therapy but the shadow remained unresolved. Computerized tomography (CT) scan of thorax showed consolidation over the anterior se gment of the right upper lobe with a hypodense area suspicious of a lung abscess. Fine needle aspirates of the lesion grewAcinetobacter baumannii twice but the shadow persisted despite multiple courses of antibiotics targeted at the organism. Right video ‐assisted thoracoscopic surgery was done and the pathological diagnosis was a mature cystic teratoma with adjacent lung consolidation. Culture of the lung specimen also grewAcinetobacter baumannii. This was the first reported case of subclinical community ‐acquiredAcinetobacter pneumonia in association with a mature cystic teratoma, which masquerades as a lung abscess.
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research