Microbiology
Simkania negevensis, a Chlamydiae (PubMed).
Epidemiologic Risks
Grows in amoebae (and macrophages) and is found in water, including tap water and spas.
Syndromes
Community-acquired pneumonia but rare (<2%) and bronchiolitis. Perhaps more of a kid's pathogen. Diagnose with PCR or serology but not available where I work.
Treatment
Tetracyclines and macrolides? Sulfa and quinolone resistant.
Last Update: 04/17/18.