is a gram-negative bacillus that has a multitude of inherent and acquired antimicrobial resistance. It is a rare, isolated pathogen in patients without cystic fibrosis (CF). We report the case of a 76-year-old Caucasian male with a history of chronic obstructive pulmonary disease (COPD), previous (MAI) infection, and chronic bronchiectasis who did not respond to three courses of outpatient antibiotics for a chronic cough. He also had a 21-lb weight loss. The diagnosis of  subspecies was made through bronchoscopy with bronchoalveolar lavage (BAL). There are few case reports describing subspecies in non-CF patients. colonization might be linked to predisposing lung damage such as in CF and bronchiectasis. The bacterium is frequently multidrug-resistant. More studies are needed to develop recommendations for clinical guidelines to address the increasing antibiotic resistance to

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176333PMC
http://dx.doi.org/10.7759/cureus.7381DOI Listing

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