[Postoperative penicillin-resistant streptococcus pneumonia in lung cancer patient].
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.
Ishibashi
Hironori
H
Department of Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Ohta
S
S
Hirose
M
M
Shirasu
T
T
Muro
H
H
Tanio
N
N
Suzuki
K
K
Etoh
T
T
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
D004338:Drug Combinations; D015377:Cilastatin; D015378:Imipenem; D000077728:Cilastatin, Imipenem Drug Combination