| Journal: | Revista do Instituto de Medicina Tropical de Sao Paulo |
| Database: | |
| System number: | 000537078 |
| ISSN: | 0036-4665 |
| Authors: | Jiménez Castillo, Raúl Alberto1 Aguilar Rivera, Leonardo René1 Carrizales Sepúlveda, Edgar Francisco1 Gómez Quiroz, Ricardo Andrés1 Llantada López, Anabella Rosalía1 González Aguirre, Julio Edgardo1 Náñez Terreros, Homero1 Rendón Ramírez, Erick Joel1 |
| Institutions: | 1Universidad Autónoma de Nuevo León, Facultad de Medicina, Monterrey. México |
| Year: | 2021 |
| Volumen: | 63 |
| Country: | Brasil |
| Language: | Inglés |
| English abstract | Round pneumonia is an unusual radiological manifestation of a bacterial lung infection. We present the case of an elderly male patient who arrived at the emergency room with a productive cough and exertional dyspnea. His chest x-ray and CT showed a round opacity and air bronchograms in the right upper lobe. Taken together, the patient’s symptoms and images strongly suggest a pulmonary infection. Empirical antibiotic therapy with ceftriaxone and clarithromycin was started. The sputum culture was positive for Enterobacter hormaechei and the bacterium was sensitive to levofloxacin; therefore, the antibiotic therapy was changed. Despite the treatment, the patient progressed to respiratory failure and septic shock, dying six days after admission. Although round pneumonia is uncommon, it is a potentially curable disease and clinicians should always consider it in their differential diagnosis. |
| Keyword: | Round pneumonia, Adults, Liver cirrhosis, Enterobacter hormaechei |
| Full text: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
