Branhamella

CASE 1

• A 56 year old man has increasing cough and fever for 2 days. The cough is productive of yellow sputum. He is a cigarette smoker, and he has had two previous episodes of pneumonia in the past. In addition, he has a regular morning cough and produces 2 tablespoons of sputum every morning.

• A chest xray shows a patchy infiltrate in the right middle lobe. A Gram stain of the sputum show numerous neutrophils and a predominance of scattered Gram-negative diplococci. A sputum culture on chocolate agar grows these bacteria, but they are oxidase-negative.

Questions:

    1. Who is a risk for pulmonary infection with Branhamella catarrhalis?
    2. How is this organism distinguish from N. meningitidis or N. gonorrhoeae in culture?