Pulmonary Pneumatocele in a Pneumonia Patient Infected with Extended-Spectrum beta-Lactamase Producing Proteus mirabilis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 371-374, 2015.
Article
in English
| WPRIM
| ID: wpr-20105
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Proteus
/
Proteus mirabilis
/
Sputum
/
Thorax
/
Beta-Lactamases
/
Brain
/
Dexamethasone
/
Tomography, X-Ray Computed
/
Follow-Up Studies
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Humans
/
Male
Language:
English
Journal:
Tuberculosis and Respiratory Diseases
Year:
2015
Type:
Article
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