title: A case of pneumonia caused by Ewingella americana in a patient with chronic renal failure.
abstract: Though the pathogenic significance and the reservoir of Ewingella americana have not been clarified, this organism has caused several pathogenic infections, especially in immunocompromised patients. We report a pneumonia in a patient with chronic renal failure, who had chronic rejection of transplanted kidney. E. americana was identified to be the pathogen of pneumonia with clinical symptoms and signs and radiological examination. As soon as he was treated with ceftriaxone and isepamicin, clinical improvement was followed with no further growth of E. americana or other pathogenic isolates from sputum culture. This suggests to be the case of pneumonia caused by E. americana for the first time in the Korean literature.
authors.affiliation: Department of Laboratory Medicine, School of Medicine, Keimyung University, Daegu, Korea. nhryoo@dsmc.or.kr
authors.forename: Nam-Hee
authors.initials: NH
authors.lastname: Ryoo
authors.forename: Jung-Sook
authors.initials: JS
authors.lastname: Ha
authors.forename: Dong-Seok
authors.initials: DS
authors.lastname: Jeon
authors.forename: Jae-Ryong
authors.initials: JR
authors.lastname: Kim
authors.forename: Hyun-Chul
authors.initials: HC
authors.lastname: Kim
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D002443:Ceftriaxone / Q000494:pharmacology; D004755:Enterobacteriaceae / Q000378:metabolism*; D004756:Enterobacteriaceae Infections / Q000150:complications*; D005839:Gentamicins / Q000494:pharmacology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000382:microbiology*; D016030:Kidney Transplantation; D008297:Male; D011014:Pneumonia / Q000150:complications / Q000382:microbiology*; D013183:Sputum / Q000378:metabolism; D013997:Time Factors
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002443:Ceftriaxone; C016927:isepamicin
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