| CASE REPORT |
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| Year : 2020 | Volume
: 9
| Issue : 1 | Page : 40-42 |
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Extensively drug-resistant Klebsiella pneumoniae pneumonia: A case report
Saurabh Karmakar1, Somnath Bhattacharya1, Shilpi Karmakar2, Deependra Kumar Rai1
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
 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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