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Fulminant psudeumonas pneumonia following coronary artery bypass grafting - Case report.

Authors :
Sakhaei D
Parvas E
Ilkhani S
Tafti SHA
Jameie M
Mohebbi H
Source :
International journal of surgery case reports [Int J Surg Case Rep] 2023 Jan; Vol. 102, pp. 107785. Date of Electronic Publication: 2022 Nov 26.
Publication Year :
2023

Abstract

Introduction and Importance: Pneumonia has always been a source of complication after surgeries. Pseudomonas aeruginosa has emerged as one of the most problematic Gram-negative pathogens among nosocomial infections. Pneumonia caused by pseudomonas is usually slowly progressive allowing clinicians to detect and manage it on time.<br />Clinical Presentation: A 55-year-old man was hospitalized for elective CABG, complicated by fulminant pneumonia. Vancomycin and meropenem were adminestered as soon as the symptoms appeared. However, the patient died from septic shock syndrome caused by pseudomonas pneumonia on the third postoperative day, just hours after the first symptom appeared. The chest X-ray showed an extreme opacity within less than 12 h.<br />Clinical Discussion: This case is reported because of its rare clinical presentation of Fulminant pseudomonas pneumonia following cardiac surgery.<br />Conclusion: Consider pseudomonas aeruginosa as a certain cause of pneumonia after cardiac surgery, and an organized, modified guideline is needed to determine the best option and timeline for treating this complication.<br />Competing Interests: Declaration of competing interest The authors declare that there is no conflict of interests.<br /> (Copyright © 2022. Published by Elsevier Ltd.)

Details

Language :
English
ISSN :
2210-2612
Volume :
102
Database :
MEDLINE
Journal :
International journal of surgery case reports
Publication Type :
Academic Journal
Accession number :
36470053
Full Text :
https://doi.org/10.1016/j.ijscr.2022.107785