Chronic community-acquired Acinetobacter pneumonia that responded slowly to rifampicin in the anti-tuberculous regime - 15/08/11

Abstract |
Acinetobacter baumannii is a well-known cause of hospital-acquired pneumonia. Occasionally, it can present as an acute community-acquired pneumonia with a fulminant course. However, the occurrence of the chronic form of community-acquired Acinetobacter pneumonia is yet to be highlighted. We describe a 62-year-old, HIV negative, non-diabetic male, who was referred for evaluation of consolidation and cavitation in the apicoposterior segment of the left upper lobe for 4 months. For this, he had received anti-tuberculous therapy, which included rifampicin. On investigation, a diagnosis of chronic community-acquired pneumonia due to Acinetobacter baumannii was made. The steady clinico–radiologic improvement observed was attributed to rifampicin in the anti-tuberculous regime. Subsequently, an aspergilloma formed in the cavity.
Le texte complet de cet article est disponible en PDF.Keywords : Acinetobacter baumannii, Aspergilloma, Chronic community-acquired pneumonia, Non-bacteraemic, Rifampicin
Plan
Vol 51 - N° 3
P. e149-e152 - octobre 2005 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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