P295 Good syndrome: importance of early diagnosis

A 63 HIV-negative man with benign spindle-cell thymoma (diagnosed 2011) presented with acute hypoxic respiratory failure. Over two months, he was hospitalized twice for recurrent pneumonia secondary to Bordetella Bronchisepticapneumonia and treated with two courses of IV antibiotics. He presented to us with respiratory failure requiring endotracheal intubation two days after his last hospitalization. CT demonstrated thymoma, cavitary lesions, ground glass opacity, and bronchiectasis. Cultures revealed Bordetella Bronchisepticaand Pneumocystis Jirovecii.

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