Fulminating septicemia due to persistent pan-resistant community-acquired metallo-β-lactamase (IMP-1)-positive Acinetobacter baumannii

Indian J Pathol Microbiol. 2011 Jan-Mar;54(1):180-2. doi: 10.4103/0377-4929.77397.

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.

Publication types

  • Case Reports

MeSH terms

  • Acinetobacter Infections / diagnosis*
  • Acinetobacter Infections / microbiology
  • Acinetobacter baumannii / drug effects*
  • Acinetobacter baumannii / isolation & purification
  • Anti-Bacterial Agents / pharmacology
  • Blood / microbiology
  • Community-Acquired Infections / diagnosis*
  • Community-Acquired Infections / microbiology
  • DNA, Bacterial / chemistry
  • DNA, Bacterial / genetics
  • DNA, Ribosomal / chemistry
  • DNA, Ribosomal / genetics
  • Drug Resistance, Multiple, Bacterial*
  • Fatal Outcome
  • Female
  • Humans
  • Microbial Sensitivity Tests
  • Middle Aged
  • RNA, Ribosomal, 16S / genetics
  • Sepsis / microbiology*
  • Sequence Analysis, DNA
  • Suppuration / microbiology
  • Trachea / microbiology
  • Urine / microbiology
  • beta-Lactamases / biosynthesis*

Substances

  • Anti-Bacterial Agents
  • DNA, Bacterial
  • DNA, Ribosomal
  • RNA, Ribosomal, 16S
  • beta-lactamase IMP-1
  • beta-Lactamases