title: [Postoperative penicillin-resistant streptococcus pneumonia in lung cancer patient].
abstract: A 78-year-old man underwent a left lower sleeve lobectomy and lymph node dissection for lung cancer. His postoperative course had been uneventful until postoperative day (POD) 3, but severe dyspnea occurred suddenly and the chest X-p showed infiltration shadow on POD 3. Streptococcus pneumonia antigen in the urine was elevated, suggesting pneumonia caused by Streptococcus pneumonia. The patient was treated with double dose of imipenem/cilastatin sodium and supported with a mechanical ventilator in an intensive care unit. Although the patient recovered from penicillin resistant Streptococcus pneumonia, he was suffered from Klebsiella sepsis and expired on the POD 26.
authors.affiliation: Department of Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Ishibashi
authors.forename: S
authors.initials: S
authors.lastname: Ohta
authors.forename: M
authors.initials: M
authors.lastname: Hirose
authors.forename: T
authors.initials: T
authors.lastname: Shirasu
authors.forename: H
authors.initials: H
authors.lastname: Muro
authors.forename: N
authors.initials: N
authors.lastname: Tanio
authors.forename: K
authors.initials: K
authors.lastname: Suzuki
authors.forename: T
authors.initials: T
authors.lastname: Etoh
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D015377:Cilastatin / Q000008:administration & dosage; D000077728:Cilastatin, Imipenem Drug Combination; D004338:Drug Combinations; D017809:Fatal Outcome; D006801:Humans; D015378:Imipenem / Q000008:administration & dosage; D007710:Klebsiella Infections; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D010403:Penicillin Resistance; D011018:Pneumonia, Pneumococcal / Q000382:microbiology / Q000628:therapy*; D011183:Postoperative Complications / Q000382:microbiology / Q000628:therapy*; D018805:Sepsis; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D012122:Ventilators, Mechanical
chemical_list: D004338:Drug Combinations; D015377:Cilastatin; D015378:Imipenem; D000077728:Cilastatin, Imipenem Drug Combination