학술논문
A case of Serratia marcescens resistant to appropriate antimicrobial treatment based on susceptibility / 治療抵抗性で有効な抗菌薬の選択に苦慮したSerratia marcescensの1例
Document Type
Journal Article
Author
Fukumi Konno; Hideki Ueno; Hironori Tsujimoto; Ibuki Fujinuma; Kazuki Kobayashi; Kazuo Hase; Kenta Kikuya; Minako Kobayashi; Naoto Yonamine; Suefumi Aosasa; Takahiro Einama; Takazumi Tsunenari; Toshimitsu Iwasaki; Yoichi Miyata; Yoji Kishi; 上野 秀樹; 今野 福巳; 宮田 陽一; 小林 和貴; 小林 美奈子; 岩崎 寿光; 岸 庸二; 恒成 崇純; 永生 高広; 與那嶺 直人; 菊家 健太; 藤沼 八月; 辻本 広紀; 長谷 和生; 青笹 季文
Source
日本外科感染症学会雑誌 / Journal of Japan Society for Surgical Infection. 2020, 17(6):527
Subject
Language
Japanese
ISSN
1349-5755
2434-0103
2434-0103
Abstract
A 66–year–old woman was admitted for treatment of nausea and vomiting. The patient had been followed up without recurrence after subtotal stomach–preserving pancreatoduodenectomy (SSPPD) and right hemicolectomy for duodenal cancer and ascending colon cancer 34 months ago. After contrast–enhanced CT, she went into shock. Anaphylactic shock was initially suspected, but she remained critical even after treatment with adrenaline and steroids. Serratia marcescens was detected in the blood culture and she was treated with antibiotics thereafter. However, it took nearly a month for her condition to improve despite the administration of appropriate antimicrobial treatment based on the results of susceptibility test.