Had a patient recently who had a deep, productive cough x several days. Docs asked for a sputum culture, so night shift sent off 1st sputum of the morning last week.
Got the C&S back and had a few of the 'usual suspects' ie haemophilus influenze pneumonia and strep..... and..... wait for it...
How in the name of all things good did E coli end up in this patients' lungs?
Bit of history, was initially admitted for "weakness, pre-syncope" and found to have a rapid heart rate. Somewhat obese pt with history of OSA (obstructive sleep apnea) requiring c-pap at rest.
I'm wondering if the c-pap might have had something to do with it?