Bloodstream infection with carbapenem-resistant Klebsiella pneumoniae and multidrug-resistant Acinetobacter baumannii: a case report.
- Author:
Hong-min ZHANG
1
;
Da-Wei LIU
1
;
Xiao-ting WANG
1
;
Yun LONG
1
;
Huan CHEN
1
Author Information
1. Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
- Publication Type:Case Reports
- MeSH:
Acinetobacter Infections;
blood;
drug therapy;
microbiology;
Acinetobacter baumannii;
drug effects;
isolation & purification;
Adult;
Bacteremia;
blood;
drug therapy;
microbiology;
Carbapenems;
administration & dosage;
pharmacology;
therapeutic use;
Drug Resistance, Multiple, Bacterial;
Fatal Outcome;
Humans;
Klebsiella Infections;
blood;
drug therapy;
microbiology;
Klebsiella pneumoniae;
drug effects;
isolation & purification;
Male;
Shock, Septic;
blood;
drug therapy;
microbiology
- From:
Chinese Medical Sciences Journal
2014;29(1):51-54
- CountryChina
- Language:English
-
Abstract:
IN the presence of septic shock, every hour in delaying the administration of effective antibiotics is associated with a measurable increase in mortality. This is especially true for neutropenic patients with septic shock.1 As there is a higher incidence of involving multi-drug resistant pathogens for neutropenic patients, the decision on antibiotics regime remains a challenge for physicians.2 Immunosuppression and previous antibacterial use are factors that promote the spread of multi-drug resistant pathogens, and the possibility of co-existing multi-drug resistant pathogens should be suspected when treating patients with these risk factors who developed refractory shock. Here we present a case with neutropenic fever and refractory shock whose blood culture yielded multi-drug resistant Acinetobacter baumannii and carbapenem- resistant Klebsiella pneumoniae.
