Metallo-ß-lactamase-producing Klebsiella pneumoniae infection in a non-hospital environment.
Acute Med Surg
; 3(1): 32-35, 2016 01.
Article
en En
| MEDLINE
| ID: mdl-29123745
ABSTRACT
Case A 92-year-old female resident at a nursing home was transported to the emergency department unconscious, hypotensive, and febrile. Chest X-rays and computed tomography revealed a permeation shadow in the right lung. The patient was diagnosed with sepsis due to pneumonia. At the time of admission, she had not received antibiotics or treatment using medical devices over the past 6 months. Two sets of samples were taken for blood and sputum cultures, and Klebsiella pneumoniae was isolated from all cultures. The strain was identified as metallo-ß-lactamase-producing K. pneumoniae, and the patient was successfully treated with tazobactam-piperacillin. This case indicates that metallo-ß-lactamase-producing K. pneumoniae infection occurred in a non-hospital environment. Outcome:
After tazobactam-piperacillin treatment, the patient was transferred to another hospital.Conclusion:
Emergency physicians should be aware of multidrug-resistant bacterial infection even in a non-hospital setting.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Acute Med Surg
Año:
2016
Tipo del documento:
Article