Open AccessMetallo‐β‐lactamase‐producing K lebsiella pneumoniae infection in a non‐hospital environment
Author(s) -
Okazaki Rumi,
Hagiwara Shuichi,
Kimura Takao,
Tokue Yutaka,
Kambe Masahiko,
Murata Masato,
Aoki Makoto,
Kaneko Minoru,
Oshima Kiyohiro,
Murakami Masami
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.120
Subject(s) - piperacillin , medicine , sputum , emergency department , tazobactam , pneumonia , klebsiella pneumoniae , sepsis , antibiotics , sputum culture , piperacillin/tazobactam , hospital acquired pneumonia , microbiology and biotechnology , pseudomonas aeruginosa , antibiotic resistance , tuberculosis , bacteria , imipenem , pathology , nursing , biology , genetics , biochemistry , escherichia coli , gene
Case A 92‐year‐old female resident at a nursing home was transported to the emergency department unconscious, hypotensive, and febrile. Chest X ‐rays and computed tomography revealed a permeation shadow in the right lung. The patient was diagnosed with sepsis due to pneumonia. At the time of admission, she had not received antibiotics or treatment using medical devices over the past 6 months. Two sets of samples were taken for blood and sputum cultures, and K lebsiella pneumoniae was isolated from all cultures. The strain was identified as metallo‐β‐lactamase‐producing K . pneumoniae , and the patient was successfully treated with tazobactam–piperacillin. This case indicates that metallo‐β‐lactamase‐producing K . pneumoniae infection occurred in a non‐hospital environment. Outcome After tazobactam–piperacillin treatment, the patient was transferred to another hospital. Conclusion Emergency physicians should be aware of multidrug‐resistant bacterial infection even in a non‐hospital setting.