Plesiomonas shigelloides pneumonia
| Autor: | N. Lang, Wolfgang Hiddemann, F. Schneider, H. Ostermann, H.J. Michaely, R. Reibke |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pathology
medicine.medical_specialty Jejunostomy Torsades de pointes Unconsciousness Adenocarcinoma Lesion Gastrectomy Stomach Neoplasms Torsades de Pointes Tachycardia medicine Humans Aged Inflammation Lung biology business.industry Stomach Respiratory disease medicine.disease biology.organism_classification Radiography Pneumonia Diarrhea Infectious Diseases medicine.anatomical_structure Plesiomonas shigelloides Ventricular Fibrillation Plesiomonas Female medicine.symptom Gram-Negative Bacterial Infections business |
| Zdroj: | Médecine et Maladies Infectieuses. 39:397-400 |
| ISSN: | 0399-077X |
| DOI: | 10.1016/j.medmal.2008.11.010 |
| Popis: | Plesiomonas shigelloides is known to cause mild to cholera-like diarrhea in most infected persons. In immunocompromised patients extra-intestinal manifestations have been described. We report the first case of pneumonia caused by P. shigelloides in a 76-year-old woman who had undergone a curative gastrectomy and esophageal-jejunostomy due to a low differentiated adenocarcinoma of the stomach (pT2, pN1 pMx, G3, R0, Lauren: intestinal type). The patient was admitted in hospital with clinical signs of pulmonary infection. CT-scan revealed a cavernous lesion in the right upper pulmonary lobe. Bronchial lavage showed a granulocytic inflammation 105 CFU/ml P. shigelloides. Although antibiotic treatment led to a decrease of inflammation parameters and decrease of the pulmonary infiltrate the patient died due to development of torsades de pointes tachycardia leading to ventricular fibrillation and hypoxic brain damage. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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