균혈증이 동반된 중증 지역사회 획득 Acinetobacter baumannii 폐렴 1예
A Case of Severe Community-acquired Acinetobacter baumannii Pneumonia with Bacteremia
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Acinetobacter baumannii is a significant pathogen in nosocomial infections, especially in intensive care units. However, community-acquired A. baumannii (CAAB) pneumonia is an uncommon disease. Most of the CAAB pneumonia in the literature is characterized by an abrupt onset and rapid progression to respiratory failure and hemodynamic instability. In our case, a 51-year-old man without underlying diseases developed severe pneumonia. Respiratory distress rapidly worsened and mechanical ventilation was applied. Extra-corporeal membrane oxygenation was applied due to refractory septic shock. Fully sensitive A. baumannii pneumonia was confirmed by the sputum culture and blood culture. The patient was effectively treated by the meropenem. However, the patient died of uncontrolled ventilatorassociated pneumonia, developed on the 10th hospital day, and refractory septic shock. We report the case of severe CAAB pneumonia with bacteremia in a patient without underlying diseases in Korea.
Abstract
Acinetobacter baumannii is a significant pathogen in nosocomial infections, especially in intensive care units. However, community-acquired A. baumannii (CAAB) pneumonia is an uncommon disease. Most of the CAAB pneumonia in the literature is characterized by an abrupt onset and rapid progression to respiratory failure and hemodynamic instability. In our case, a 51-year-old man without underlying diseases developed severe pneumonia. Respiratory distress rapidly worsened and mechanical ventilation was applied. Extra-corporeal membrane oxygenation was applied due to refractory septic shock. Fully sensitive A. baumannii pneumonia was confirmed by the sputum culture and blood culture. The patient was effectively treated by the meropenem. However, the patient died of uncontrolled ventilatorassociated pneumonia, developed on the 10th hospital day, and refractory septic shock. We report the case of severe CAAB pneumonia with bacteremia in a patient without underlying diseases in Korea.
참고문헌 (15)
- Enoch DA., "Investigation and management of an outbreak of multidrugcarbapenem-resistant Acinetobacter baumannii in Cambridge, UK", J Hosp Infect, 70, pp.109~118 (2008)
- Lima AL., "Acinetobacter infection", N Engl J Med, 358, pp.2846~2847 (2008)
- Ong CW., "Severe community-acquired Acinetobacter baumannii pneumonia : an emerging highly lethal infectious disease in the Asia-Pacific", Respirology, 14, pp.1200~1205 (2009)
- Falagas ME., "Communityacquired Acinetobacter infections", Eur J Clin Microbiol Infect Dis, 26, pp.857~868 (2007)
- 한상훈, "Acinetobacter baumannii 원인균이 의심되느 지역 사회 획득성 폐렴", Tuberculosis and Respiratory Diseases, 63(3), pp.273~277 (2007), 대한결핵및호흡기학회
- Kang CI., "Clinical outcomes and risk factors of community-acquired pneumonia caused by gram-negative bacilli", Eur J Clin Microbiol Infect Dis, 27, pp.657~661 (2008)
- 나주영, "A Probable Community-Acquired Pneumonia due to Acinetobacter baumannii Infection Presenting the Positive Pneumothorax Test at Autopsy", 대한법의학회지, 34(2), pp.125~128 (2010), 대한법의학회
- Lolans K., "Multicity outbreak of carbapenem-resistant Acinetobacter baumannii isolates producing the carbapenemase OXA-40", Antimicrob Agents Chemother, 50, pp.2941~2945 (2006)
- Forster DH., "Acinetobacter species as nosocomial pathogens", Eur J Clin Microbiol Infect Dis, 17, pp.73~77 (1998)
- Chen MZ., "Severe community-acquired pneumonia due to Acinetobacter baumannii", Chest, 120, pp.1072~1077 (2001)
- Yang CH., "Community-acquired Acinetobacter pneumonia : a case report", J Infect, 35, pp.316~318 (1997)
- Kanemoto K., "Severe community-acquired Acinetobacter pneumonia", Nihon Kokyuki Gakkai Zasshi, 41, pp.817~821 (2003)
- Koshimizu N., "An autopsy case of fulminant community-acquired pneumonia due to Acinetobacter baumannii", Kansenshogaku Zasshi, 83, pp.392~397 (2009)
- Leung WS., "Fulminant community-acquired Acinetobacter baumannii pneumonia as a distinct clinical syndrome", Chest, 129, pp.102~109 (2006)
- Anstey NM., "Community-acquired bacteremic Acinetobacter pneumonia in tropical Australia is caused by diverse strains of Acinetobacter baumannii, with carriage in the throat in atrisk groups", J Clin Microbiol, 40, pp.685~686 (2002)