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Case Reports
. 2021 Apr 26:24:e01133.
doi: 10.1016/j.idcr.2021.e01133. eCollection 2021.

A case of community-onset Acinetobacter pneumonia in a healthy person

Shoko Nishimizu  1   2 , Seiji Shiota  1   2 , Taro Oshiumi  1 , Takeshi Takakura  1 , Eishi Miyazaki  2
Affiliations
Case Reports

A case of community-onset Acinetobacter pneumonia in a healthy person

Shoko Nishimizu et al. IDCases. .

Abstract

A 56-year-old woman with fever, sore throat and productive cough was referred to our hospital, where mild community-acquired pneumonia was diagnosed. Sputum smears revealed Gram-negative coccobacilli. Treatment with ceftriaxone was initiated, but symptoms continued without progression to respiratory failure or bacteremia. As sputum cultures identified Acinetobacter baumannii, antibiotics were changed to levofloxacin, resulting in complete remission. A. baumannii is a very rare cause of community-acquired pneumonia in Japan. However, in cases of pneumonia where Gram-negative coccobacilli are identified and prove resistant to initial treatment, the possibility of A. baumannii pneumonia should be kept in mind even for healthy subjects with low severity score.

Keywords: Acinetobacter baumannii; Community-acquired pneumonia; Healthy person.

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Conflict of interest statement

The authors report no declarations of interest.

Figures

Fig. 1
Fig. 1
a) Supine radiograph of the chest shows infiltrates in the lower right lung field. b, c) Computed tomography of the chest shows atelectasis in the right middle lobe and consolidation and ground-glass opacity in the right lower lobe.
See this image and copyright information in PMC

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