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- Title
A case of round pneumonia due to Enterobacter hormaechei: the need for a standardized diagnosis and treatment approach in adults.
- Authors
Alberto Jiménez-Castillo, Raúl; René Aguilar-Rivera, Leonardo; Francisco Carrizales-Sepúlveda, Edgar; Andrés Gómez-Quiroz, Ricardo; Rosalía Llantada-López, Anabella; Edgardo González-Aguirre, Julio; Náñez-Terreros, Homero; Joel Rendón-Ramírez, Erick
- Abstract
Round pneumonia is an unusual radiological manifestation of a bacterial lung infection. We present the case of an elderly male patient who arrived at the emergency room with a productive cough and exertional dyspnea. His chest x-ray and CT showed a round opacity and air bronchograms in the right upper lobe. Taken together, the patient's symptoms and images strongly suggest a pulmonary infection. Empirical antibiotic therapy with ceftriaxone and clarithromycin was started. The sputum culture was positive for Enterobacter hormaechei and the bacterium was sensitive to levofloxacin; therefore, the antibiotic therapy was changed. Despite the treatment, the patient progressed to respiratory failure and septic shock, dying six days after admission. Although round pneumonia is uncommon, it is a potentially curable disease and clinicians should always consider it in their differential diagnosis.
- Subjects
ENTEROBACTER; PNEUMONIA; COUGH; RESPIRATORY insufficiency; SEPTIC shock; COMPUTED tomography
- Publication
Revista do Instituto de Medicina Tropical de São Paulo, 2021, Vol 63, p1
- ISSN
0036-4665
- Publication type
Article
- DOI
10.1590/S1678-9946202163003