Necrotizing Pneumonia in the Community
A 62-year-old man presented with general fatigue. He was diagnosed with septic shock and severe pneumonia. The sputum at admission yielded methicillin-sensitive Staphylococcus aureus (MSSA) strain and methicillin-resistant S. aureus (MRSA) strain. Despite antibiotic treatment, he did not improve. A...
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| Veröffentlicht in: | Internal Medicine 2012, Vol.51(17), pp.2463-2467 |
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| container_issue | 17 |
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| container_title | Internal Medicine |
| container_volume | 51 |
| creator | Otera, Hiroshi Yamamoto, Go Ohkusu, Kiyofumi Kozuki, Haruka Hashimoto, Kimio Tada, Kimihide |
| description | A 62-year-old man presented with general fatigue. He was diagnosed with septic shock and severe pneumonia. The sputum at admission yielded methicillin-sensitive Staphylococcus aureus (MSSA) strain and methicillin-resistant S. aureus (MRSA) strain. Despite antibiotic treatment, he did not improve. A chest computed tomography (CT) revealed multilobar cavity lesions. Only MRSA strain was confirmed at that time. We diagnosed him with necrotizing pneumonia. Despite treatment with vancomycin, his pneumonia worsened and he died. At autopsy, many gram-positive cocci were observed in the lungs. The clinical presentation of our patient was different from typical CA-MRSA-mediated necrotizing pneumonia. |
| doi_str_mv | 10.2169/internalmedicine.51.7626 |
| format | Article |
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He was diagnosed with septic shock and severe pneumonia. The sputum at admission yielded methicillin-sensitive Staphylococcus aureus (MSSA) strain and methicillin-resistant S. aureus (MRSA) strain. Despite antibiotic treatment, he did not improve. A chest computed tomography (CT) revealed multilobar cavity lesions. Only MRSA strain was confirmed at that time. We diagnosed him with necrotizing pneumonia. Despite treatment with vancomycin, his pneumonia worsened and he died. At autopsy, many gram-positive cocci were observed in the lungs. The clinical presentation of our patient was different from typical CA-MRSA-mediated necrotizing pneumonia.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.51.7626</identifier><identifier>PMID: 22975569</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Fatal Outcome ; Humans ; Male ; Methicillin-Resistant Staphylococcus aureus ; Middle Aged ; Necrosis ; necrotizing pneumonia ; Panton-Valentine leukocidin ; Pneumonia, Staphylococcal - diagnosis ; Pneumonia, Staphylococcal - microbiology ; Pneumonia, Staphylococcal - pathology ; Staphylococcal Infections - complications ; Staphylococcal Infections - drug therapy ; Treatment Failure ; Vancomycin - therapeutic use</subject><ispartof>Internal Medicine, 2012, Vol.51(17), pp.2463-2467</ispartof><rights>2012 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-a6492d49dff13a227601daec08b5faa06f834220cfff64073c88f717dd1336d23</citedby><cites>FETCH-LOGICAL-c534t-a6492d49dff13a227601daec08b5faa06f834220cfff64073c88f717dd1336d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22975569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Otera, Hiroshi</creatorcontrib><creatorcontrib>Yamamoto, Go</creatorcontrib><creatorcontrib>Ohkusu, Kiyofumi</creatorcontrib><creatorcontrib>Kozuki, Haruka</creatorcontrib><creatorcontrib>Hashimoto, Kimio</creatorcontrib><creatorcontrib>Tada, Kimihide</creatorcontrib><title>Necrotizing Pneumonia in the Community</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 62-year-old man presented with general fatigue. He was diagnosed with septic shock and severe pneumonia. The sputum at admission yielded methicillin-sensitive Staphylococcus aureus (MSSA) strain and methicillin-resistant S. aureus (MRSA) strain. Despite antibiotic treatment, he did not improve. A chest computed tomography (CT) revealed multilobar cavity lesions. Only MRSA strain was confirmed at that time. We diagnosed him with necrotizing pneumonia. Despite treatment with vancomycin, his pneumonia worsened and he died. At autopsy, many gram-positive cocci were observed in the lungs. The clinical presentation of our patient was different from typical CA-MRSA-mediated necrotizing pneumonia.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Fatal Outcome</subject><subject>Humans</subject><subject>Male</subject><subject>Methicillin-Resistant Staphylococcus aureus</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>necrotizing pneumonia</subject><subject>Panton-Valentine leukocidin</subject><subject>Pneumonia, Staphylococcal - diagnosis</subject><subject>Pneumonia, Staphylococcal - microbiology</subject><subject>Pneumonia, Staphylococcal - pathology</subject><subject>Staphylococcal Infections - complications</subject><subject>Staphylococcal Infections - drug therapy</subject><subject>Treatment Failure</subject><subject>Vancomycin - therapeutic use</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkDtPwzAUhS0EoqXwF1AmxJLiR-LHiCpeUkUZYLZcx25dJU6xnQF-Pa5aOiCWe4f7nXOuDgAFglOMqLhzPpngVduZxmnnzbRGU0YxPQFjRCpRMkzqUzCGAvES5zECFzFuICScCXwORhgLVtdUjMHNq9GhT-7b-VXx5s3Q9d6pwvkirU0x67tu8C59XYIzq9porg57Aj4eH95nz-V88fQyu5-XuiZVKhWtBG4q0ViLiMKYUYgaZTTky9oqBanlpMIYamstrSAjmnPLEGsaRAhtMJmA273vNvSfg4lJdi5q07bKm36IEkEiOOcCw4zyPZr_jzEYK7fBdSp8ZUjuWpJ_W5I1kruWsvT6kDIs8_Eo_K0lA4s9sIlJrcwRUCE53Zp_nRHbzUPEkdRrFaTx5AfNdYTu</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Otera, Hiroshi</creator><creator>Yamamoto, Go</creator><creator>Ohkusu, Kiyofumi</creator><creator>Kozuki, Haruka</creator><creator>Hashimoto, Kimio</creator><creator>Tada, Kimihide</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Necrotizing Pneumonia in the Community</title><author>Otera, Hiroshi ; Yamamoto, Go ; Ohkusu, Kiyofumi ; Kozuki, Haruka ; Hashimoto, Kimio ; Tada, Kimihide</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-a6492d49dff13a227601daec08b5faa06f834220cfff64073c88f717dd1336d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Fatal Outcome</topic><topic>Humans</topic><topic>Male</topic><topic>Methicillin-Resistant Staphylococcus aureus</topic><topic>Middle Aged</topic><topic>Necrosis</topic><topic>necrotizing pneumonia</topic><topic>Panton-Valentine leukocidin</topic><topic>Pneumonia, Staphylococcal - diagnosis</topic><topic>Pneumonia, Staphylococcal - microbiology</topic><topic>Pneumonia, Staphylococcal - pathology</topic><topic>Staphylococcal Infections - complications</topic><topic>Staphylococcal Infections - drug therapy</topic><topic>Treatment Failure</topic><topic>Vancomycin - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Otera, Hiroshi</creatorcontrib><creatorcontrib>Yamamoto, Go</creatorcontrib><creatorcontrib>Ohkusu, Kiyofumi</creatorcontrib><creatorcontrib>Kozuki, Haruka</creatorcontrib><creatorcontrib>Hashimoto, Kimio</creatorcontrib><creatorcontrib>Tada, Kimihide</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Otera, Hiroshi</au><au>Yamamoto, Go</au><au>Ohkusu, Kiyofumi</au><au>Kozuki, Haruka</au><au>Hashimoto, Kimio</au><au>Tada, Kimihide</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Necrotizing Pneumonia in the Community</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>51</volume><issue>17</issue><spage>2463</spage><epage>2467</epage><pages>2463-2467</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 62-year-old man presented with general fatigue. He was diagnosed with septic shock and severe pneumonia. The sputum at admission yielded methicillin-sensitive Staphylococcus aureus (MSSA) strain and methicillin-resistant S. aureus (MRSA) strain. Despite antibiotic treatment, he did not improve. A chest computed tomography (CT) revealed multilobar cavity lesions. Only MRSA strain was confirmed at that time. We diagnosed him with necrotizing pneumonia. Despite treatment with vancomycin, his pneumonia worsened and he died. At autopsy, many gram-positive cocci were observed in the lungs. The clinical presentation of our patient was different from typical CA-MRSA-mediated necrotizing pneumonia.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>22975569</pmid><doi>10.2169/internalmedicine.51.7626</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2012, Vol.51(17), pp.2463-2467 |
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| language | eng |
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| source | J-STAGE Free; MEDLINE |
| subjects | Anti-Bacterial Agents - therapeutic use Fatal Outcome Humans Male Methicillin-Resistant Staphylococcus aureus Middle Aged Necrosis necrotizing pneumonia Panton-Valentine leukocidin Pneumonia, Staphylococcal - diagnosis Pneumonia, Staphylococcal - microbiology Pneumonia, Staphylococcal - pathology Staphylococcal Infections - complications Staphylococcal Infections - drug therapy Treatment Failure Vancomycin - therapeutic use |
| title | Necrotizing Pneumonia in the Community |
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