Sharma Amit, Shariff Malini, Thukral S S, Shah Ashok
Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, P.O. Box 2101, Delhi 110 007, India.
J Infect. 2005 Oct;51(3):e149-52. doi: 10.1016/j.jinf.2004.12.003.
Acinetobacter baumannii is a well-known cause of hospital-acquired pneumonia. Occasionally, it can present as an acute community-acquired pneumonia with a fulminant course. However, the occurrence of the chronic form of community-acquired Acinetobacter pneumonia is yet to be highlighted. We describe a 62-year-old, HIV negative, non-diabetic male, who was referred for evaluation of consolidation and cavitation in the apicoposterior segment of the left upper lobe for 4 months. For this, he had received anti-tuberculous therapy, which included rifampicin. On investigation, a diagnosis of chronic community-acquired pneumonia due to Acinetobacter baumannii was made. The steady clinico-radiologic improvement observed was attributed to rifampicin in the anti-tuberculous regime. Subsequently, an aspergilloma formed in the cavity.
鲍曼不动杆菌是医院获得性肺炎的常见病因。偶尔，它可表现为急性社区获得性肺炎，病程凶险。然而，社区获得性鲍曼不动杆菌肺炎的慢性形式的发生尚未得到重视。我们描述了一名62岁、HIV阴性、非糖尿病男性，因左上叶尖后段实变和空洞4个月而被转诊评估。为此，他接受了包括利福平在内的抗结核治疗。经检查，诊断为鲍曼不动杆菌所致慢性社区获得性肺炎。观察到的临床和影像学的稳定改善归因于抗结核方案中的利福平。随后，空洞内形成了曲菌球。
