[A case of hospital-acquired pneumonia caused by intermediately susceptible carbapenem Acinetobacter baumannii].
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.
Matsumoto
Takemasa
T
Department of Respiratory Medicine, Fukuoka University Hospital.
Fujita
Masaki
M
Yoshimura
Chikara
C
Toyoshima
Hideo
H
Kitamura
Taisuke
T
Ishikura
Hiroyasu
H
Watanabe
Kentaro
K
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
D015780:Carbapenems; D015363:Quinolones