{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T17:32:43Z","timestamp":1771263163266,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T00:00:00Z","timestamp":1567641600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2019,9,5]]},"abstract":"<jats:p>Community-acquired pneumonia (CAP) is an important cause of hospitalizations in adults. In the United States, <jats:italic>Streptococcus pneumoniae<\/jats:italic> is the most frequently identified bacterial pathogen responsible for CAP. Other etiologic pathogens of CAP vary based on the geographic region. <jats:italic>Mycobacterium tuberculosis<\/jats:italic> is an uncommon cause of CAP in the United States, while it is a principal cause in many African and Asian countries. Coinfection with <jats:italic>Streptococcus pneumoniae<\/jats:italic> and <jats:italic>Mycobacterium tuberculosis<\/jats:italic> is rare and has only been reported in the setting of underlying HIV infection in areas of high tuberculosis prevalence. Here, we report a case of CAP in the absence of HIV, where <jats:italic>Streptococcus pneumoniae<\/jats:italic> was identified on admission and delay in diagnosis of concomitant active pulmonary tuberculosis led to inappropriate isolation. In addition to a high index of suspicion, epidemiologic and radiographic findings can be helpful to recognize tuberculosis as a cause of CAP even when other pathogens have already been identified.<\/jats:p>","DOI":"10.1155\/2019\/4618413","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T19:30:55Z","timestamp":1567711855000},"page":"1-4","source":"Crossref","is-referenced-by-count":5,"title":["Community-Acquired Pneumonia due to <i>Streptococcus pneumoniae<\/i>: When to Consider Coinfection with Active Pulmonary Tuberculosis"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7521-2364","authenticated-orcid":true,"given":"Ruslan","family":"Garcia","sequence":"first","affiliation":[{"name":"NewYork-Presbyterian Hospital\/Weill Cornell Medical Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix549"},{"key":"2","year":"2015"},{"issue":"12","key":"3","first-page":"1308","volume":"11","year":"2007","journal-title":"International Journal of Tuberculosis and Lung Disease"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2009.01641.x"},{"issue":"12","key":"6","first-page":"1207","volume":"7","year":"2003","journal-title":"International Journal of Tuberculosis and Lung Disease"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1500245"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.347"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e32832a09e0"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/18544730"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0153728"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2017160032"},{"key":"13","year":"2017"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-2131"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00114810"},{"key":"16","year":"2017"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/4618413.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/4618413.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/4618413.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T19:30:56Z","timestamp":1567711856000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2019\/4618413\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,5]]},"references-count":15,"alternative-id":["4618413","4618413"],"URL":"https:\/\/doi.org\/10.1155\/2019\/4618413","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,5]]}}}