Case 3 -

B. Cereus Pneumonia and Issues with Hospital Safety and Infection Control Dina R. Mody, The Methodist Hospital, Houston, TX

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Click here to download handout in 1-up pdf format for the current section Click here to download handout in 6-up pdf format for the current section Clinical History 39 YR old hispanic male who was working in his garage and suddenly developed hemoptysis. Rushed to local emergency room. Found to have a "patch" of pneumonia on chest films. Was transfered to tertiary care center due to deterioration of condition. Pertinent Laboratory Data: Patient admitted to ICU. Condition worsening. BAL (Bronchioloalveolar lavage) performed. HIV status is unknown at time of reciept of BAL in laboratory but was subsequently found to be negative Case 3 - Figure 1 Case 3 - Figure 2 Case 3 - Figure 3 Case 3 - Figure 4 Case 3 - Figure 5 GMS Case 3 - Figure 6 GMS Case 3 - Figure 7 Gram Pathological/Microscopic Findings and any Immunohistochemical or Other Studies: Hypocellular specimen. Is this adequate? what are the criteria? Differential Diagnoses: Unsat specimen Vs other Is this diagnostic? Final Diagnosis: B. cereus Pneumonia and issues with Hospital safety and Infection control. Case Discussion: The differential diagnostic considerations vary from an unsat specimen to a diagnostic entity if it explains the patient's condition Conclusion(s): Always correlate the cytology with the clinical picture References: Rapidly progressive, fatal, Inhalation Anthrax-like Infection in a human. Case Report, Pathogen Genome Sequencing, Pathology and Coordinated response. Wright A, Beres S, Consamus E et al. Arch Pathol Lab Med 2011;135:1447-1459