Terapeutic Remission of Community Acquired Pneumonia Caused by Rothia Mucilaginosa in an Adult Patient with Idiopathic Pulmonar Fibrosis

Rothia Mucilaginosa (RM) is part of the microbiota pharynx and upper respiratory tract. RM a gram-positive, enveloped, coagulase-negative coccus family Micrococcaceae. Clinical manifestations range from mild bronchitis to recurrent pneumonia lung abscess. It difficult determine clinical significance this organism in specimens, therefore, diagnosis caused by R. mucilaginosa, bronchoscopy specimens should be cultured. Risk factors associated with are hematologic malignancies neutropenia. At present, importance various pathologies remains unclear due its difficulty culture high potential for contamination at time sampling. Although it an oral microbiota, has been implicated after being identified sputum or bronchoalveolar lavage smears infectious lesions tract, such as abscess empyema. The challenge MRI infection practice deciding whether real product sample contamination. We present case 50-year-old adult patient, without neutropenia, hematological malignancy, progressive idiopathic pulmonary fibrosis (IPF) 1 year evolution. On admission hospital, person presented signs failure, tachycardia, rales. auscultation 85% oxygen saturation, that's why he went through many different studies diagnose pneumonia.