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Acinetobacter Pnmonisi likili Septik Pulmoner Emboli [Respir Case Rep]
Respir Case Rep. 2020; 9(3): 112-116 | DOI: 10.5505/respircase.2020.18199

Acinetobacter Pnmonisi likili Septik Pulmoner Emboli

Emine Afin
zzet Baysal Devlet Hastanesi, Gs Hastalklar Klinii, Bolu

Septik pulmoner emboli, birincil enfeksiyon kaynandaki mikroorganizma ieren trombsn dolama karmas sonucu, pulmoner arterlerde enfarkt ve akcier parankiminde bilateral multipl nodl ve/veya kaviteye yol aan nadir bir enfektif akcier hastaldr. Olgumuz, 58 yanda KOAH alevlenme tansyla yatrlm olup, yatnn 4. gnnde ate, ksrk, nefes darlnda art, akcier grafisinde bilateral yaygn infiltrasyon gelimesi zerine youn bakmda invazif mekanik ventilatrde takip edildi. Toraks bilgisayarl tomografisinde; periferik yerleimli ve bazlar kaviter olan nodller, infiltrasyon, maximum 1 cm olan mediastinal lenfadenomegali, bilateral plevral effzyon ve besleyici damar belirtisi izlendi. Geni spektrumlu antibiyotik ve antifungal tedaviye yant alnamayan hastann exitusundan sonra trakeal aspirat kltrnde Acinetobacter baumannii / calcoaceticus (antibiyogramndaki antibiyotiklerin tmne direnli) remesi saptand. Mortalitesi yksek olan septik pulmoner emboli etyolojisinde gram negatif pnmoni saptanmas nadir bildirilmi olup, bu nedenden dolay olguyu literatr eliinde tartmay amaladk.

Anahtar Kelimeler: acinetobacter, pnmoni, septik pulmoner emboli

Septic Pulmonary Embolism Associated with Acinetobacter Pneumonia

Emine Afin
zzet Baysal State Hospital, Chest Diseases Clinic, Bolu

Septic pulmonary embolism is an infective lung disease that leads to infarction in the pulmonary arteries and bilateral multiple nodules and/or cavitations in the lung parenchyma resulting from the circulation of thrombus in the bloodstream as infected with microorganisms in the primary infectious focus. A 58-year-old case we have presented was hospitalized with the diagnosis of COPD exacerbation and was taken to the intensive care unit to be monitored in the invasive mechanical ventilator because of fever, cough, increased dyspnea and development of bilateral diffuse infiltration encountered by chest x-ray. Thoracic computed tomography encountered peripherally localized and partly cavitary nodules, infiltration, mediastinal lymphadenomegaly with a maximum diameter of 1 cm, bilateral pleural effusion and feeding vessel sign. After exitus of the patient who was unresponsive to broad spectrum antibiotic and antifungal therapy; tracheal aspirate culture test indicated the growth of Acinetobacter baumannii /calcoaceticus (resistant to all the antibiotics in the antibiogram). The detection of Gram Negative Pneumonia has been rarely reported in the etiology of septic pulmonary embolism that presents a high mortality rate, therefore, we aimed to discuss that case in the light of literature data.

Keywords: acinetobacter, pneumonia, septic pulmonary embolism

Olgunun Tomografi Kesitleri




Emine Afin. Septic Pulmonary Embolism Associated with Acinetobacter Pneumonia. Respir Case Rep. 2020; 9(3): 112-116

Sorumlu Yazar: Emine Afin, Trkiye
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