Community-Acquired Acinetobacter 폐염 1예

A Case of Community-Acquried Acinetobacter calcoaceticus Pneumonia

  • 유병무 (한양대학교 의과대학 내과학교실) ;
  • 임병성 (한양대학교 의과대학 내과학교실) ;
  • 최완영 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실) ;
  • 이정희 (한양대학교 의과대학 내과학교실) ;
  • 최태열 (한양대학교 의과대학 임상병리학교실)
  • Yoo, Byeong-Moo (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Lim, Byung-Sung (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Choi, Wan-Young (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Shin, Dong-Ho (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Park, Sung-Soo (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Lee, Jung-Hee (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Choi, Tae-Yul (Department of Clinical Pathology, Hanyang University, School of Medicine)
  • 발행 : 1991.03.31

초록

Acinetobacter calcoaceticus var anitratus, a non-fermentative gram negative bacillus, has been infrequently reported as a cause of community-acquired pneumonia. Bacteremic community-acquired pneumonia caused by Acinetobacter is a fulminant disease with a high mortality (above 40 per cent in the reported case). The onset of the illness is rapid but nonspecific with fever, productive cough, pleuritic pain and rapid prostration. And the patients frequently present with respiratory distress, severe hypoxemia, leukopenia and septic shock. We experienced a case of community-acquired Acinetobacter pneumonia who underwent respiratory support with mechanical ventilator for about 4 weeks and survived. We report the case with review of literature.

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