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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 40-42

Extensively drug-resistant Klebsiella pneumoniae pneumonia: A case report


1 Department of Pulmonary Medicine, All India Institute of Medical Sciences, Patna, India
2 Department of Plastic Surgery, King George's Medical University, Lucknow, India

Correspondence Address:
Saurabh Karmakar
Department of Pulmonary Medicine, All India Institute of Medical Sciences, Patna
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2221-6189.276080

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Rationale: Extensively drug resistant Klebsiella pneumoniae is defined as resistant to least one antimicrobial agent in all but two or lesser antimicrobial categories. Patient concerns: A 58-year-old diabetic male was admitted with bilateral pneumonia. Sputum culture grew Klebsiella pneumoniae which was sensitive to only colistin on culture. Diagnosis: Acute hypoxemic respiratory failure causes bilateral pneumonia (community acquired). Intervention: The combination therapy of oral faropenem and intravenous colistin for treatment. Outcome: The patient recovered fully and is doing well on follow-up. Lesson: Emerging antibiotic-resistant and hypervirulent strains of Klebsiella pneumoniae should drive further studies on novel antibiotic combinations for extensively drug-resistant Klebsiella pneumonia.


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