El Gharib K, Masri K, Daoud Z, Sfeir T
Department of Internal Medicine, Hôtel-Dieu de France, Beirut, Lebanon.
Department of Infectious Diseases, Centre Hospitalier du Nord Hospital, Zghorta, Lebanon.
New Microbes New Infect. 2021 Mar 19;41:100870. doi: 10.1016/j.nmni.2021.100870. eCollection 2021 May.
We herein describe the case of a 38-year-old patient with congenital agammaglobulinemia who presented with community-acquired pneumonia; acute respiratory failure with sepsis ensued requiring ICU admission, mechanical ventilation and vasopressors administration. The causative organism was identified as , sensitive to multiple agents. Stewardship was effectively applied; clinical, biologic and radiologic improvement resulted, and the patient was later discharged on ciprofloxacin therapy; improvement being maintained thereafter. This is the first reported case of community-acquired pneumonia in our region.
我们在此描述一名38岁先天性无丙种球蛋白血症患者的病例，该患者出现社区获得性肺炎；继而发生急性呼吸衰竭伴脓毒症，需要入住重症监护病房、进行机械通气并给予血管升压药。致病微生物被鉴定为 ，对多种药物敏感。有效实施了管理措施；临床、生物学和影像学均有改善，患者后来接受环丙沙星治疗出院；此后病情持续改善。这是我们地区首例报告的社区获得性肺炎病例。
