An unusual case of necrotizing pneumonia in a healthy apnea diver.

IF 3.6 2区医学 Q1 INFECTIOUS DISEASES

Infection Pub Date : 2025-07-30 DOI:10.1007/s15010-025-02617-6

Christian Beyer, Rayya Alsalameh, Christian Bogdan, Marion Ganslmayer, Markus F Neurath, Richard Strauß, Julia Fürst

引用次数: 0

Abstract

We report a case of necrotizing pneumonia caused by hypervirulent Klebsiella pneumoniae in an athletic, 54-year-old apnea diver. Since hypervirulent Klebsiella pneumoniae strains prevail in Southeast Asia and are mainly associated with "invasive liver abscess syndrome", we considered and tested for hypervirulence only when the necrotizing pneumonia turned out to be refractory to initial antibiotic treatment. Although the hypervirulent Klebsiella pneumoniae strain in our patient did not show multi-drug resistance, a total of 6 months of high-dose antibiotic therapy was necessary to cure the infection.

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一个不寻常的病例坏死性肺炎在一个健康呼吸暂停潜水员。

我们报告一例由高毒力肺炎克雷伯菌引起的坏死性肺炎，在一个运动，54岁呼吸暂停潜水员。由于高毒力肺炎克雷伯菌菌株在东南亚流行，主要与“侵袭性肝脓肿综合征”有关，我们仅在坏死性肺炎对初始抗生素治疗难以治愈时才考虑并检测高毒力。虽然本例患者的高致病性肺炎克雷伯菌菌株未表现出多药耐药，但总共需要6个月的高剂量抗生素治疗才能治愈感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infection 医学-传染病学

CiteScore

12.50

自引率

1.30%

发文量

224

审稿时长

6-12 weeks

期刊介绍： Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.