A case report of a pulmonary abscess

• Main Authors: Tatiana Fonseca, Maria Ana Canelas
• Format: Article
• Language: English
• Published: Sociedade Galega de Medicina Interna 2017-03-01
• Series: Galicia Clínica
• Subjects: Klebsiella pneumoniae; abscessos pulmonares
• Online Access: http://www.galiciaclinica.info/publicacion.asp?f=1028

The prevalence of Carbapenem resistant enterobacteriaceae (CRE) infections has increased over the last decade, especially in healthcare settings. Management of infections due to CRE is complicated by a lack of effective treatment options and clinical data on their effectiveness. We describe a case of a 34 year-old, male, with history of lung adenocarcinoma and distal esophagus adenocarcinoma. Was surgically proposed to eso-gastrectomy and eso-gastrostomy. Due the partial dehiscence of the anastomosis, it was placed an endoluminal prosthesis. Three weeks later, it was found an esophageal orifice and a pulmonary abscess due carbapenem resistant klebsiella pneumoniae. He was started on tigecycline, colistine and amphotericin B. However, there wasn’t any improvement, and the patient died on 45th day of his admission. Discussion: Timely microbiological diagnosis, the use of new and old antibiotics and cirurgical intervention appeared to be valuable in managing of this patients.