Lung Abscess in a Patient With VAP: A Rare Case of Lung Infection Complicated by Two Pathogens.

Autor: Mystakelli C; Intensive Care Unit, 'Mitera' Obstetric and Gynecological Hospital, Athens, Greece., Gourgiotis S, Aravosita P, Seretis C, Kanna E, Aloizos S
Jazyk: angličtina
Zdroj: Journal of clinical medicine research [J Clin Med Res] 2013 Feb; Vol. 5 (1), pp. 64-6. Date of Electronic Publication: 2013 Jan 11.
DOI: 10.4021/jocmr1132w
Abstrakt: Ventilator-associated pneumonia (VAP) is defined as pneumonia occurring in a patient after intubation with an endotracheal tube or tracheostomy tube lasting for 48 hours or more. We describe a case of 75-year-old male who initially presented with pneumonia of the right basis with accompanying plevritis. The patient was intubated and his condition was complicated with a VAP infection while he developed a lung abscess. The antibiotic therapy was based on susceptibility bronchial secretions isolated acinetobacter baumannii and klebsiella pneumoniae; these pathogens were also isolated from the drained abscess. The patient was discharged in good health. The interest of this case is recommended in the existence of two responsible pathogens, the paucity of the development of lung abscess in a patient with VAP, and the successful treatment of the patient with the combination of controlled drainage of the abscess and appropriate antibiotic therapy.
Databáze: MEDLINE