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4/2021 vol. 28
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CASE REPORT
Citrobacter freundii and Acinetobacter baumanii infection in a patient with neoplastic lung disease – Case report
Marcin Lewicki 1
,
 
Małgorzata Kozioł 2
,
 
Karol Lorenc 3
,
 
Magdalena Kozioł 3
,
 
Mateusz Pawlicki 3
,
 
Agata Smoleń 1
 
 
 
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1
Department of Epidemiology and Clinical Research Methodology, Medical University, Lublin, Poland
 
2
Chair and Department of Medical Microbiology, Medical University, Lublin, Poland
 
3
Student Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University, Lublin, Poland
 
 
Corresponding author
Karol Lorenc   

Student Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University, Radziwiłłowska 11, 20-080 Lublin, Poland
 
 
Ann Agric Environ Med. 2021;28(4):724-728
DOI: https://doi.org/10.26444/aaem/140111
 
 
Article (PDF, 334.9 kB)
References (25)
 
KEYWORDS
antibiotic resistance
antibiotic therapy
alert pathogen
 
TOPICS
Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases)
 
ABSTRACT
An 85-year-old male with a tumour in his right lung was admitted to Internal Diseases Ward to continue treatment after suffering a sudden cardiac arrest. An empiric antibiotic therapy with amoxycillin was introduced due to increased inflammation markers. Blood and sputum were collected. An abundant growth of AmpC β-lactamase-producing Citrobacter freundii was observed in culture grown from the sputum. The antibiogram showed retained sensitivity to fluoroquinolones. The therapy was modified by replacing β-lactam with ciprofloxacin. Neither clinical nor laboratory improvement were observed. Blood culture indicated sepsis of Acinetobacter baumannii etiology. The strain was suspected of producing OXA carbapenemase (CARBA test positive), KPC (-), MBL (-). Antibiogram illustrated retained sensitivity to gentamicin and colistin with complete resistance to ciprofloxacin. Another modification in treatment was implemented and ciprofloxacin was replaced with colistin.
Citrobacter freundii and Acinetobacter baumanii infection in a patient with neoplastic lung disease – Case report. Doi: 10.26444/aaem/140111
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