Goodhart G L, Abrutyn E, Watson R, Root R K, Egert J
JAMA. 1977 Oct 3;238(14):1516-8.
Two patients had community-acquired Acinetobacter calcoaceticus var anitratus pneumonia. Both patients were alcoholic and one was cirrhotic. One patient died and the other received two weeks of gentamicin therapy and survived. Misinterpretation of the sputum Gram stain delayed diagnosis and institution of proper therapy in both cases. In addition to organisms sensitive to penicillins such as Neisseria or Haemophilus, Acinetobacter must be considered in the differential diagnosis of community-acquired Gram-negative coccobacillary pneumonia.
两名患者患有社区获得性醋酸钙不动杆菌反硝化亚种肺炎。两名患者均为酗酒者，其中一名患有肝硬化。一名患者死亡，另一名接受了两周的庆大霉素治疗后存活。痰革兰氏染色的错误解读延误了两例病例的诊断和适当治疗的开始。除了对青霉素敏感的病原体如奈瑟菌或嗜血杆菌外，在社区获得性革兰氏阴性球杆菌性肺炎的鉴别诊断中必须考虑不动杆菌。
