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Case Reports
. 2022 Jul;76(7):499-502.
doi: 10.1055/a-1718-2521. Epub 2022 Jan 10.

[Rare Cause of Lung Tumour - Pulmonary Infection with Hafnia alvei: A Case Report]

[Article in German]
Affiliations
Case Reports

[Rare Cause of Lung Tumour - Pulmonary Infection with Hafnia alvei: A Case Report]

[Article in German]
Ignaz Briegel et al. Pneumologie. 2022 Jul.

Abstract

If a malignant disease is suspected, rapid diagnosis of suspicious pulmonary masses is required. In the presented case, malignancy was repeatedly not proven. Only the test-appropriate antibiotic treatment of an intestinal germ that was initially assessed as an impurity brought the therapeutic success with total remission. In our case the treatment with broad-spectrum penicillin piperacillin/tazobactam was ineffective and only the gyrase inhibitors ciprofloxacin and levofloxacin brought therapeutic success.

Bei Verdacht auf maligne Erkrankung ist die rasche Abklärung tumorverdächtiger pulmonaler Raumforderungen geboten. Im vorgestellten Fall gelang mehrmals kein Nachweis von Malignität. Erst die testgerechte antibiotische Behandlung eines inital als Verunreinigung gewerteten Darmkeimes brachte den Therapieerfolg mit Totalremission. Hierbei war die Behandlung mit dem Breitspektrumpenicillin Piperacillin/Tazobactam ineffektiv und erst die Gyrasehemmer Ciprofloxacin bzw. Levofloxacin brachten den Therapieerfolg.

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