Ventilator-associated pneumonia (VAP) and pleural empyema caused by multidrug-resistant Acinetobacter baumannii in HIV and COVID 19 infected patient: A case report

Rosa Anna Passerotto , Francesco Lamanna , Damiano Farinacci , Alex Dusina , Simona Di Giambenedetto , Arturo Ciccullo , Alberto Borghetti
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引用次数: 1

Abstract

We analyzed the case of a 49-year-old woman with HIV infection off-therapy with poor viro-immunological compensation, not vaccinated for SARS-COV-2, hospitalized for lobar pneumonia and severe COVID19-related respiratory failure in intensive care unit (ICU). The hospitalization was complicated by bacteraemic ventilator-associated pneumonia (VAP) caused by multidrug-resistant Acinetobacter baumannii (MDR-AB) isolated on pleural fluid culture, treated with colistin and cefiderocol for about 3 weeks. The molecular research of MDR-AB on transtracheal aspirate was negative following this therapy.

The aim is to show the safety, efficacy and tolerability of colistin-based combination therapy with cefiderocol for Acinetobacter baumannii infection in HIV-infected patient.

Abstract Image

耐多药鲍曼不动杆菌在HIV和COVID-19感染患者中引起的呼吸机相关性肺炎(VAP)和胸膜积脓:一例报告
我们分析了一名49岁的HIV感染女性的病例,该女性因病毒免疫补偿差而退出治疗,未接种严重急性呼吸系统综合征冠状病毒2型疫苗,因大叶性肺炎和严重新冠肺炎相关呼吸衰竭在重症监护室(ICU)住院。住院患者因胸膜液培养分离的耐多药鲍曼不动杆菌(MDR-AB)引起的呼吸机相关性细菌性肺炎(VAP)而复杂,用粘菌素和头孢iderocol治疗约3周。MDR-AB在该疗法后经气管抽吸物上的分子研究为阴性。目的是证明以粘菌素为基础的联合头孢iderocol治疗HIV感染患者鲍曼不动杆菌感染的安全性、有效性和耐受性。
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CiteScore
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