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Primary lung abscess due to multidrug-resistant Klebsiella pneumoniae
  1. Mascarenhas Chrystle1,
  2. Acharya Vishak2,
  3. Kamath Sindhu2 and
  4. Mendonca Jane2
  1. 1 Respiratory Medicine/Medical Oncology, Kasturba Medical College Hospital, Mangalore, Karnataka, India
  2. 2 Respiratory Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Mangalore, Karnataka, India
  1. Correspondence to Dr Mascarenhas Chrystle; chrystle_mascarenhas{at}outlook.com

Abstract

Primary lung abscess as a complication of necrotising community-acquired pneumonia due to multidrug-resistant (MDR) Klebsiella pneumoniae is rare. A 63-year-old man with a medical history of type 2 diabetes mellitus and chronic kidney disease was diagnosed with lung abscess due to MDR Klebsiella pneumoniae, a rare organism as a causative agent for community-acquired pneumonia. This unusual case revealed therapeutic challenges faced owing to factors such as drug-resistant pathogen, longer duration of antibiotics required for lung abscess and the chronic kidney status of the patient limiting the dosage of antibiotics. The clinical nuggets discussed in this case might pave the way in the future for management guidelines to be formulated in optimising the selection and duration of therapy for lung abscesses with MDR aetiology and in early recognition of this rare but dreaded entity.

  • pneumonia (infectious disease)
  • pneumonia (respiratory medicine)
  • drugs and medicines
  • diabetes

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Footnotes

  • Contributors The report was written by MC. The report was supervised by AV and he acts as a guarantor. The patient was under his care. KS and MJ critically reviewed and added suggestions when finalising the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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