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Severe Community-acquired Pneumonia Caused by Acinetobacter baumannii Successfully Treated with the Initial Administration of Meropenem Based on the Sputum Gram Staining Findings
A 62-year-old man with diabetes mellitus and a two-day history of fever and dyspnea presented at our hospital. He was diagnosed with community-acquired pneumonia (CAP), septic shock, and respiratory failure. Sputum Gram staining revealed Gram-negative coccobacilli. Based on the Gram staining finding...
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| Published in: | Internal Medicine 2019/01/15, Vol.58(2), pp.301-305 |
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| Main Authors: | , , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c609t-5ea2b07f05a378233dd448156537da581523d2b875c690efac521c4f1915d3dc3 |
| container_end_page | 305 |
| container_issue | 2 |
| container_start_page | 301 |
| container_title | Internal Medicine |
| container_volume | 58 |
| creator | Iwasawa, Yurika Hosokawa, Naoto Harada, Mariko Hayano, Satoshi Shimizu, Akihiko Suzuki, Daisuke Nakashima, Kei Yaegashi, Makito |
| description | A 62-year-old man with diabetes mellitus and a two-day history of fever and dyspnea presented at our hospital. He was diagnosed with community-acquired pneumonia (CAP), septic shock, and respiratory failure. Sputum Gram staining revealed Gram-negative coccobacilli. Based on the Gram staining findings and history, Acinetobacter baumannii was considered as one of the causative organisms of his CAP. Consequently, he was successfully treated with the initial administration of meropenem. We suggest that A. baumannii should be considered as one of the possible causative organisms of CAP based on a fulminant clinical course, and the presence of Gram-negative coccobacilli. |
| doi_str_mv | 10.2169/internalmedicine.0787-18 |
| format | article |
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He was diagnosed with community-acquired pneumonia (CAP), septic shock, and respiratory failure. Sputum Gram staining revealed Gram-negative coccobacilli. Based on the Gram staining findings and history, Acinetobacter baumannii was considered as one of the causative organisms of his CAP. Consequently, he was successfully treated with the initial administration of meropenem. We suggest that A. baumannii should be considered as one of the possible causative organisms of CAP based on a fulminant clinical course, and the presence of Gram-negative coccobacilli.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0787-18</identifier><identifier>PMID: 30210104</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Acinetobacter ; Acinetobacter baumannii ; Case Report ; community-acquired pneumonia ; Diabetes mellitus ; Dyspnea ; empiric therapy ; Fever ; Gram stain ; Internal medicine ; Meropenem ; Pneumonia ; Respiration ; Septic shock ; Sputum ; Staining</subject><ispartof>Internal Medicine, 2019/01/15, Vol.58(2), pp.301-305</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c609t-5ea2b07f05a378233dd448156537da581523d2b875c690efac521c4f1915d3dc3</citedby><cites>FETCH-LOGICAL-c609t-5ea2b07f05a378233dd448156537da581523d2b875c690efac521c4f1915d3dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378168/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378168/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30210104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iwasawa, Yurika</creatorcontrib><creatorcontrib>Hosokawa, Naoto</creatorcontrib><creatorcontrib>Harada, Mariko</creatorcontrib><creatorcontrib>Hayano, Satoshi</creatorcontrib><creatorcontrib>Shimizu, Akihiko</creatorcontrib><creatorcontrib>Suzuki, Daisuke</creatorcontrib><creatorcontrib>Nakashima, Kei</creatorcontrib><creatorcontrib>Yaegashi, Makito</creatorcontrib><title>Severe Community-acquired Pneumonia Caused by Acinetobacter baumannii Successfully Treated with the Initial Administration of Meropenem Based on the Sputum Gram Staining Findings</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 62-year-old man with diabetes mellitus and a two-day history of fever and dyspnea presented at our hospital. He was diagnosed with community-acquired pneumonia (CAP), septic shock, and respiratory failure. Sputum Gram staining revealed Gram-negative coccobacilli. Based on the Gram staining findings and history, Acinetobacter baumannii was considered as one of the causative organisms of his CAP. Consequently, he was successfully treated with the initial administration of meropenem. We suggest that A. baumannii should be considered as one of the possible causative organisms of CAP based on a fulminant clinical course, and the presence of Gram-negative coccobacilli.</description><subject>Acinetobacter</subject><subject>Acinetobacter baumannii</subject><subject>Case Report</subject><subject>community-acquired pneumonia</subject><subject>Diabetes mellitus</subject><subject>Dyspnea</subject><subject>empiric therapy</subject><subject>Fever</subject><subject>Gram stain</subject><subject>Internal medicine</subject><subject>Meropenem</subject><subject>Pneumonia</subject><subject>Respiration</subject><subject>Septic shock</subject><subject>Sputum</subject><subject>Staining</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNplkttuEzEQhlcIREvhFZAlbrjZ4sMeb5BCREulcpBSrq1Z72ziaNdOfSjKa_GEeEmIoNzMWONv_hl7JssIo5ecVe07bQI6A-OEvVba4CWtmzpnzZPsnImizWsuyqfZOW1Zk_NkzrIX3m8pFU3d8ufZmaCcUUaL8-znCh_QIVnaaYpGh30O6j5qhz35ZjBO1mggS4g-Bbo9WczVgu1ApQZIB3ECY7Qmq6gUej_EcdyTO4cQEv9Dhw0JGyQ3SVjDSBb9pI32wUHQ1hA7kM_o7A4NTuQDzCVSdE5Y7WKIE7l2MJFVgJRk1uRKmz55_zJ7NsDo8dXRX2Tfrz7eLT_lt1-vb5aL21xVtA15icA7Wg-0BFE3XIi-L4qGlVUp6h7KdOKi511Tl6pqKQ6gSs5UMbCWlb3olbjI3h90d7FLH63QpMZHuXN6AreXFrT898bojVzbB1mleqxqksDbo4Cz9xF9kJP2CscRDNroZZqBqOqiEG1C3zxCtzbOE04UL6pW1Py3YHOglLPeOxxOzTAq58WQjxdDzosh2Zz6-u_HnBL_bEICvhyArQ-wxhMALmg14v_KZSP5bI4VTqDagJNoxC_DRttj</recordid><startdate>20190115</startdate><enddate>20190115</enddate><creator>Iwasawa, Yurika</creator><creator>Hosokawa, Naoto</creator><creator>Harada, Mariko</creator><creator>Hayano, Satoshi</creator><creator>Shimizu, Akihiko</creator><creator>Suzuki, Daisuke</creator><creator>Nakashima, Kei</creator><creator>Yaegashi, Makito</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190115</creationdate><title>Severe Community-acquired Pneumonia Caused by Acinetobacter baumannii Successfully Treated with the Initial Administration of Meropenem Based on the Sputum Gram Staining Findings</title><author>Iwasawa, Yurika ; Hosokawa, Naoto ; Harada, Mariko ; Hayano, Satoshi ; Shimizu, Akihiko ; Suzuki, Daisuke ; Nakashima, Kei ; Yaegashi, Makito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c609t-5ea2b07f05a378233dd448156537da581523d2b875c690efac521c4f1915d3dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acinetobacter</topic><topic>Acinetobacter baumannii</topic><topic>Case Report</topic><topic>community-acquired pneumonia</topic><topic>Diabetes mellitus</topic><topic>Dyspnea</topic><topic>empiric therapy</topic><topic>Fever</topic><topic>Gram stain</topic><topic>Internal medicine</topic><topic>Meropenem</topic><topic>Pneumonia</topic><topic>Respiration</topic><topic>Septic shock</topic><topic>Sputum</topic><topic>Staining</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iwasawa, Yurika</creatorcontrib><creatorcontrib>Hosokawa, Naoto</creatorcontrib><creatorcontrib>Harada, Mariko</creatorcontrib><creatorcontrib>Hayano, Satoshi</creatorcontrib><creatorcontrib>Shimizu, Akihiko</creatorcontrib><creatorcontrib>Suzuki, Daisuke</creatorcontrib><creatorcontrib>Nakashima, Kei</creatorcontrib><creatorcontrib>Yaegashi, Makito</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwasawa, Yurika</au><au>Hosokawa, Naoto</au><au>Harada, Mariko</au><au>Hayano, Satoshi</au><au>Shimizu, Akihiko</au><au>Suzuki, Daisuke</au><au>Nakashima, Kei</au><au>Yaegashi, Makito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe Community-acquired Pneumonia Caused by Acinetobacter baumannii Successfully Treated with the Initial Administration of Meropenem Based on the Sputum Gram Staining Findings</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2019-01-15</date><risdate>2019</risdate><volume>58</volume><issue>2</issue><spage>301</spage><epage>305</epage><pages>301-305</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 62-year-old man with diabetes mellitus and a two-day history of fever and dyspnea presented at our hospital. He was diagnosed with community-acquired pneumonia (CAP), septic shock, and respiratory failure. Sputum Gram staining revealed Gram-negative coccobacilli. Based on the Gram staining findings and history, Acinetobacter baumannii was considered as one of the causative organisms of his CAP. Consequently, he was successfully treated with the initial administration of meropenem. We suggest that A. baumannii should be considered as one of the possible causative organisms of CAP based on a fulminant clinical course, and the presence of Gram-negative coccobacilli.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>30210104</pmid><doi>10.2169/internalmedicine.0787-18</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2019/01/15, Vol.58(2), pp.301-305 |
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| language | eng |
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| source | PubMed Central |
| subjects | Acinetobacter Acinetobacter baumannii Case Report community-acquired pneumonia Diabetes mellitus Dyspnea empiric therapy Fever Gram stain Internal medicine Meropenem Pneumonia Respiration Septic shock Sputum Staining |
| title | Severe Community-acquired Pneumonia Caused by Acinetobacter baumannii Successfully Treated with the Initial Administration of Meropenem Based on the Sputum Gram Staining Findings |
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