Pulmonary Pneumatocele in a Pneumonia Patient Infected with Extended-Spectrum beta-Lactamase Producing Proteus mirabilis.
10.4046/trd.2015.78.4.371
- Author:
Sung Hyeok RYOU
1
;
Jong Wook BAE
;
Hyun Jin BAEK
;
Doo Hyuk LEE
;
Sang Won LEE
;
Gyu Ho CHOI
;
Kyu Hyung HAN
;
Se Weon KIM
;
Hyunbeom KIM
;
Goohyeon HONG
Author Information
1. Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea. hkh0519@hanmail.net
- Publication Type:Case Report
- Keywords:
Pneumonia;
Proteus mirabilis;
Beta-Lactamase
- MeSH:
Adult;
Aged;
beta-Lactamases*;
Brain;
Bronchoalveolar Lavage;
Cough;
Dexamethasone;
Follow-Up Studies;
Humans;
Lung;
Male;
Mirabilis;
Pneumonia*;
Proteus mirabilis*;
Proteus*;
Sputum;
Thorax;
Tomography, X-Ray Computed
- From:Tuberculosis and Respiratory Diseases
2015;78(4):371-374
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary pneumatoceles are air-filled thin-walled spaces within the lung and are rare in adult cases of pneumonia. We report the case of a 74-year-old male who was admitted with a cough and sputum production. He had been treated with oral dexamethasone since a brain tumorectomy 6 months prior. Contrast-enhanced computed tomography (CT) of the chest revealed a large pneumatocele in the right middle lobe and peripheral pneumonic consolidation. Bronchoalveolar lavage was performed; cultures identified extended-spectrum beta-lactamase (ESBL) producing Proteus mirabilis. A 4-week course of intravenous ertapenem was administered, and the pneumatocele with pneumonia resolved on follow-up chest CT. To the best of our knowledge, this is the first reported case of pulmonary pneumatocele caused by ESBL-producing P. mirabilis associated with pneumonia.
