title: [A case of hospital-acquired pneumonia caused by intermediately susceptible carbapenem Acinetobacter baumannii].
abstract: The incidence of Acinetobacter baumannii pneumonia in hospital-acquired pneumonia in Japan is rare. We report a case of ventilator-associated A. baumanii pneumonia. A 69-year-old man admitted for fever was diagnosed with Streptococcus pneumoniae pneumonia based on chest radiography, urine antigen, and sputum examination. Despite appropriate antibiotics, the pneumonia progressed, necessitating intensive respiratory management. Ten days there after, he suffered sudden septic shock and superimposed pneumonia despite both carbapenem and fluoroquinolone administration. A. baumanii was detected from blood and sputum. Piperacilline/tazobactam, amikacin, and intensive care saved his life.
authors.affiliation: Department of Respiratory Medicine, Fukuoka University Hospital.
authors.forename: Takemasa
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Masaki
authors.initials: M
authors.lastname: Fujita
authors.forename: Chikara
authors.initials: C
authors.lastname: Yoshimura
authors.forename: Hideo
authors.initials: H
authors.lastname: Toyoshima
authors.forename: Taisuke
authors.initials: T
authors.lastname: Kitamura
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Ishikura
authors.forename: Kentaro
authors.initials: K
authors.lastname: Watanabe
mesh_terms: D000151:Acinetobacter Infections / Q000382:microbiology / Q000635:transmission*; D040981:Acinetobacter baumannii / Q000187:drug effects* / Q000302:isolation & purification; D000368:Aged; D015780:Carbapenems / Q000494:pharmacology*; D003428:Cross Infection / Q000382:microbiology*; D006801:Humans; D008297:Male; D018410:Pneumonia, Bacterial / Q000382:microbiology / Q000635:transmission*; D053717:Pneumonia, Ventilator-Associated / Q000382:microbiology*; D015363:Quinolones / Q000494:pharmacology
chemical_list: D015780:Carbapenems; D015363:Quinolones