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지역사회에서 획득된 Acinetobacter baumannii에 의한 감염성 심내막염 1예

Other Titles
 A Case of Infective Endocarditis Caused by Community-Acquired Acinetobacter baumannii 
Authors
 김민형  ;  안진영  ;  구남수  ;  한상훈  ;  최준용  ;  송영구  ;  김준명 
Citation
 Korean Journal of Medicine, Vol.84(2) : 313-317, 2013 
Journal Title
 Korean Journal of Medicine 
ISSN
 1738-9364 
Issue Date
2013
Abstract
Acinetobacter baumannii has become an important pathogen that causes healthcare-associated infections, including pneumonia, bacteremia, and urinary tract infection. Only sporadic cases of infective endocarditis (IE) have been reported worldwide, and in particular, community-acquired IE caused by A. baumannii is very rare. To our knowledge, no case has ever been reported in Korea. We report a 30-year-old woman who recovered from native-valve community-acquired IE caused by A. baumannii. She did not have any underlying diseases and presented with left-sided weakness, dysarthria, and fever. On investigation of acute cerebral infarction, a vegetation on her anterior mitral leaflet was found in echocardiography, and A. baumannii was cultured from the blood. In this case, A. baumannii showed intermediate resistance to cefotaxime and was sensitive to all other antibiotics. She underwent antibiotic therapy with cefoperazone/sulbactam for 5 weeks, without surgery. Consequently, the vegetation was absent in follow-up echocardiography, and no complications related to IE developed.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86297
Files in This Item:
T201300267.pdf Download
DOI
10.3904/kjm.2013.84.2.313
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
구남수(Ku, Nam Su) ORCID logo https://orcid.org/0000-0002-9717-4327
김민형(Kim, Min Hyung)
김준명(Kim, June Myung)
송영구(Song, Young Goo) ORCID logo https://orcid.org/0000-0002-0733-4156
안진영(Ahn, Jin Young)
최준용(Choi, Jun Yong) ORCID logo https://orcid.org/0000-0002-2775-3315
한상훈(Han, Sang Hoon) ORCID logo https://orcid.org/0000-0002-4278-5198
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