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Community-acquired Acinetobacter pneumonia: a case report

J Infect. 1997 Nov;35(3):316-8. doi: 10.1016/s0163-4453(97)93574-x.

Abstract

A 35-year-old male with glucose-6-phosphate dehydrogenase (G6PD) deficiency was admitted because of right chest (pleuritic) pain, fever, cough with scarce production of blood-tinged sputum, and generalized yellowish discolouration of skin for 2 days. Radiographic examination revealed right lower lobe necrotizing pneumonia. Hypotension, dyspnoea and severe haemolysis was noted the next day. Echo-guided lung aspiration and sputum cultures both grew Acinetobacter baumannii. Antibiotic therapy was started immediately, but fever persisted and abscess formation was noted 1 week later. After aggressive supportive and antibiotic therapy, he made a slow but complete recovery from the pneumonia, and was then discharged in a stable condition. Acinetobacter baumannii is a well-known causative agent of nosocomial infections, particularly in intensive units. Community-acquired pneumonia, however, is quite rare, and usually has a fulminant course and high case fatality rate.

Publication types

  • Case Reports

MeSH terms

  • Acinetobacter / classification
  • Acinetobacter / drug effects
  • Acinetobacter / isolation & purification*
  • Acinetobacter Infections / drug therapy
  • Acinetobacter Infections / microbiology*
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Asthma / complications*
  • Community-Acquired Infections
  • Glucosephosphate Dehydrogenase Deficiency / complications*
  • Hemolysis / drug effects
  • Humans
  • Male
  • Pneumonia, Bacterial / drug therapy
  • Pneumonia, Bacterial / microbiology*
  • Radiography, Thoracic
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents