Ishtiaq Rizwan, Akram Ali, Zulfiqar Laraib, Ishtiaq Daniyal, Ashraf Anam, Arif Mariam
Gastroenterology, Beth Israel Deaconess Medical Center, Boston.
Internal Medicine, BIDMC, Harvard Medical School.
Cureus. 2017 Nov 1;9(11):e1812. doi: 10.7759/cureus.1812.
Intensive care unit (ICU) sepsis in patients is a common clinical practice primarily in the tertiary care settings. Multidrug resistance to pathogens causing ICU sepsis is widespread, and it poses a severe threat to physicians in terms of managing their patients. At times, physicians get exposed to a pathogen they have never encountered before. Burkholderia cepacia infection in immunocompetent patients is rare. This infection is common in patients with immunocompromised immunity and cystic fibrosis. We report a case of a 34-year-old female who was diagnosed with ceftazidime-resistant Burkholderia cepacia in an ICU setting. This is the first case of drug-resistant Burkholderia cepacia reported from Pakistan.
重症监护病房(ICU)患者的败血症是三级医疗机构中常见的临床病症。导致ICU败血症的病原体对多种药物耐药的情况普遍存在,这对医生治疗患者构成了严重威胁。有时,医生会接触到他们从未遇到过的病原体。免疫功能正常的患者感染洋葱伯克霍尔德菌很罕见。这种感染在免疫功能低下和患有囊性纤维化的患者中很常见。我们报告一例34岁女性病例,该患者在ICU环境中被诊断为对头孢他啶耐药的洋葱伯克霍尔德菌感染。这是巴基斯坦报告的首例耐药洋葱伯克霍尔德菌病例。