Ventilator-associated pneumonia due to Shewanella putrefaciens

June 2010
American Journal of Health-System Pharmacy;6/15/2010, Vol. 67 Issue 12, p1007
Academic Journal
Purpose. The first reported U.S. case of ventilator-associated pneumonia evidently caused by Shewanella putrefaciens is described. Summary. A 39-year-old man with severe head trauma was found face down and unresponsive in a river after a watercraft accident. After being resuscitated and transferred to the intensive care unit, the patient received treatment for a subarachnoid hemorrhage and spinal injuries. The patient was also found to have decreased breath sounds bilaterally. On hospital day 7, bronchoalveolar lavage was performed due to acute febrile illness and thick pulmonary secretions. The patient was treated empirically with i.v. vancomycin and cefepime. The culture results suggested pneumonia due to methicillin-sensitive Staphylococcus aureus and colonization with Pseudomonas aeruginosa. The vancomycin and cefepime were replaced with nafcillin, after which the pneumonia resolved. The patient continued to be febrile, with leukocytosis on hospital day 14. A subsequent bronchoalveolar lavage culture performed that day revealed the presence of S. putrefaciens. According to the culture and susceptibility results, S. putrefaciens was resistant to ampicillin-sulbactam and exhibited sensitivity to cefepime, piperacillin, piperacillin- tazobactam, gentamicin, ciprofloxacin, levofloxacin, and meropenem. The patient received a 14-day course of cefepime, eliminating any further sign of the pathogen. Over the next two months, the patient's condition continued to improve, and he was eventually discharged to a rehabilitation facility. Conclusion. A 39-year-old man developed ventilator-associated pneumonia evidently caused by S. putrefaciens. The pneumonia resolved after treatment with cefepime.


Related Articles

  • Non-Operative Management Of Chest Tube Induced Pulmonary Artery Injury. Niet, Joël van der; Koeman, Mirelle; Purmer, Ilse M.; Steup, Willem Hans // Internet Journal of Thoracic & Cardiovascular Surgery;2012, Vol. 15 Issue 2, p1 

    Chest tube insertion (thoracostomy) is a common procedure performed in the emergency department, the operating theatre and the intensive care unit. Inserting a drain into the pulmonary artery is a rare but life threatening complication. We report a case of successful non-operative management of...

  • Continuous Noninvasive Hemoglobin Monitor from Pulse Ox: Ready for Prime Time? Joseph, Bellal; Hadjizacharia, Pantelis; Aziz, Hassan; Snyder, Kara; Wynne, Julie; Kulvatunyou, Narong; Tang, Andrew; O'Keeffe, Terence; Latifi, Rifat; Friese, Randall; Rhee, Peter // World Journal of Surgery;Mar2013, Vol. 37 Issue 3, p525 

    Background: Advances in technology have allowed for continuous noninvasive hemoglobin monitoring (SpHb), which may enable earlier detection of hemorrhage and more efficient surgical and/or blood transfusion management. The use of SpHb has not been described in the trauma population. The purpose...

  • Modulation of the Coagulation Cascade Using Recombinant Factor VIIa and Activated Protein C in a Severely Injured Trauma Patient. Rizvi, Adnan Z.; Slone, Denetta S.; Schreiber, Martin A. // European Journal of Trauma;Aug2006, Vol. 32 Issue 4, p399 

    Exsanguination after trauma remains a leading cause of early death in severely injured patients [1]. Sepsis and multiple organ failure are significant causes of mortality in severely injured trauma patients who survive their injury and require a prolonged ICU hospitalization [2]. Despite...

  • KL-6, a Human MUC1 Mucin, as a prognostic marker for diffuse alveolar hemorrhage syndrome. Yoshiko Kida; Shinichiro Ohshimo; Kohei Ota; Tomoko Tamura; Tadatsugu Otani; Kazunobu Une; Takuma Sadamori; Yasumasa Iwasaki; Bonella, Francesco; Noboru Hattori; Nobuyuki Hirohashi; Guzman, Josune; Costabel, Ulrich; Nobuoki Kohno; Koichi Tanigawa // Orphanet Journal of Rare Diseases;2012, Vol. 7 Issue 1, p99 

    Background: Diffuse alveolar hemorrhage syndrome is a life threatening condition with diverse etiologies. Sensitive prognostic markers for diffuse alveolar hemorrhage have not been well investigated. Serum KL-6 is a biomarker for various interstitial lung disease associated with disease activity...

  • Subarachnoid Hemorrhage: Neurointensive Care and Aneurysm Repair. Wijdicks, Eelco F. M.; Kallmes, David F.; Manno, Edward M.; Fulgham, Jimmy R.; Piepgras, David G. // Mayo Clinic Proceedings;Apr2005, Vol. 80 Issue 4, p550 

    Aneurysmal subarachnoid hemorrhage (SAH) is often a neurologic catastrophe. Diagnosing SAH can be challenging, and treatment is complex, sophisticated, multidisciplinary, and rarely routine. This review emphasizes treatment in the intensive care unit, surgical and endovascular therapeutic...

  • The impact of the implementation of bundle in the prevention of ventilator-associated pneumonia in intensive care units. Cais, D. P.; Mourão, R. // BMC Proceedings;Jan2011 Supplement 6, Vol. 5, pP70 

    An abstract of the article "The impact of the implementation of bundle in the prevention of ventilator-associated pneumonia in intensive care units," by D. P. Cais and R. Mourão is presented.

  • Short term mortality predictors in acute stroke. Das, Sukdeb; Ghosh, Kartick Chandra; Malhotra, Mainak; Yadav, Ujjal; Kundu, Shib Sankar; Gangopadhyay, Prasanta Kumar // Annals of Neurosciences;Apr2012, Vol. 19 Issue 2, p61 

    Background: Numerous studies have been done for last 20 years regarding the predictors of mortality in acute stroke. Purpose: This pilot study was designed for advancing our understanding the most influential factors involved in 4 wks mortality in Acute Stroke. Methods: 440 patients were...

  • D2-40 Is Expressed on the Luminal Surface of Pulmonary Airspaces in Normal Developing and Adult Lung but Is Lost in Conditions Associated with Intra-Alveolar Infiltrates. Sherman, Christopher G.; Jani, Prashant; Marks, Alexander; Kahn, Harriette J. // Pediatric & Developmental Pathology;Jul/Aug2012, Vol. 15 Issue 4, p259 

    The D2-40 antigen is a glycosylated sialomucin that is strongly expressed by lymphatic endothelial cells. Recently we observed the expression of D2-40 on the luminal surface of pulmonary airspaces in lung sections. The aim of the study was to assess the expression of D2-40 antigen in normal lung...

  • Ventilator-associated pneumonia rates drop 70% in study.  // Medicine on the Net;Apr2011, Vol. 17 Issue 4, p5 

    The article reports that strategies such as checklists and hand washing have reduced ventilator-associated pneumonia in Michigan hospital intensive care units (ICUs), according to a study published in "Infection Control and Hospital Epidemiology."


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics