Received: 27 April 2018
Accepted: 18 September 2018
First Online: 5 October 2018
Ethics approval and consent to participate
: Approval by the Institutional Review Board, Baylor College of Medicine.
: The data from these cases were collected under Protocol H-29468, approved by the Institution Review Board, Baylor College of Medicine. The protocol permits the study of patients admitted to the Michael E. DeBakey VA Medical Center with community acquired pneumonia for the purpose of reviewing etiology and appropriateness of treatment. The only image we show is a Gram stain of sputum which is a discarded sample. The cases that are reported have none of the 18 known patient identifiers.
: The authors declare that they have no competing interests.
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