ArticleIDCases2026
Unresolving pneumonia in type 2 diabetes, think fungus: A case report of polymicrobial lung disease.
Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
Funding
Abstract
Background: Polymicrobial pneumonia caused by multiple pathogens is increasingly recognized in immune compromised individuals with comorbidities such as type 2 diabetes mellitus (T2DM). The immunocompromised state associated with T2DM predisposes patients to polymicrobial opportunistic infections, including multidrug-resistant bacteria and fungi. Prompt laboratory diagnosis and organism-specific treatment are critical for optimal outcomes. Case presentation: We report the case of a 53-year-old male with newly diagnosed T2DM who presented with a three-month history of left-sided chest pain, dry cough, dyspnoea, and persistent fever. Initial empirical antibiotic therapy with intravenous ceftriaxone was ineffective. Computed tomography (CT) with contrast imaging revealed a massive loculated left pleural effusion with compressive atelectasis. Analysis of microbiological culture and sensitivity results revealed a polymicrobial infection involving multidrug-resistant Conclusion: This case emphasizes the importance of considering polymicrobial infections in diabetic patients presenting with unresolving pneumonia. Early use of imaging and microbiological analysis of the pleural fluid enabled prompt identification of the polymicrobial causative organisms, guiding tailored antimicrobial therapy. Multidisciplinary management is essential in improving outcomes in such complex cases.
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