An unexpected cause for XXXX and @entity3509 .

@entity1 @entity1143 @entity55 @entity5092 @entity3509 @entity6588
UNASSIGNED: @entity6588 is an emerging zoonotic disease mainly of the Northern Hemisphere caused by the Gram-negative coccobacillus @entity5092 . It is affecting a wide range of animals and causes @entity1 disease after insect and tick bites, skin contact, ingestion and inhalation. A 66-year-old @entity1 presented to our clinic with @entity55 and distinct @entity1143 . After failure of empiric antibiotic therapy, thoracoscopic assisted decortication and partial excision of the middle lobe were conducted. Conventional culture methods and broad-range bacterial PCR including RipSeqMixed analysis were performed from the excised biopsies. Culture results remained negative but broad-range PCR targeting the first half of the 16S rRNA gene revealed @entity5092 DNA. This result was confirmed by @entity5092 -specific PCR and by serology. The source of infection could not be explored. To conclude, we report the rare clinical picture of a community-acquired @entity55 followed by @entity1143 and @entity3509 due to @entity5092 . Broad range bacterial PCR proved to be a powerful diagnostic tool to detect the etiologic organism.
