Abstract
Acinetobacter baumannii is considered as an emerging nosocomial pathogen and is renowned for its multi-drug resistance. We report a case of community-acquired pan-resistant A. baumannii caused fulminating septicemia. The treatment failure led to death. The A. baumannii strain isolated from blood, pus, urine and tracheal aspirate was confirmed by 16S r-RNA sequence homology and found positive for metallo-β-lactamase IMP-1, and was found to be a strong biofilm producer. The isolate was only susceptible (moderately) to colistin.
MeSH terms
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Acinetobacter Infections / diagnosis*
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Acinetobacter Infections / microbiology
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Acinetobacter baumannii / drug effects*
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Acinetobacter baumannii / isolation & purification
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Anti-Bacterial Agents / pharmacology
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Blood / microbiology
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Community-Acquired Infections / diagnosis*
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Community-Acquired Infections / microbiology
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DNA, Bacterial / chemistry
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DNA, Bacterial / genetics
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DNA, Ribosomal / chemistry
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DNA, Ribosomal / genetics
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Drug Resistance, Multiple, Bacterial*
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Fatal Outcome
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Female
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Humans
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Microbial Sensitivity Tests
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Middle Aged
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RNA, Ribosomal, 16S / genetics
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Sepsis / microbiology*
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Sequence Analysis, DNA
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Suppuration / microbiology
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Trachea / microbiology
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Urine / microbiology
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beta-Lactamases / biosynthesis*
Substances
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Anti-Bacterial Agents
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DNA, Bacterial
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DNA, Ribosomal
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RNA, Ribosomal, 16S
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beta-lactamase IMP-1
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beta-Lactamases