Diego Fernando Severiche-Bueno1, María Teresa Vargas-Cuervo2, Luis Medina-Lee3, Gabriel Oliver-Hernandez3, Kenny Buitrago-Toro4, Diego A Insignares5, Rafael Conde-Camacho6. 1. MD, MSc, Fundación Neumológica Colombiana - Universidad de La Sabana, KM 7.5 Autopista Norte de Bogotá, Chía, Colombia. 2. MD, Pontificia Universidad Javeriana, Cra. 7 No. 40 - 62 Bogotá, Colombia. 3. MD, Universidad del Rosario, Calle 163A # 13B - 60 Bogotá, Colombia. 4. MD, MSc, Universidad Surcolombiana, Carrera 5 No. 23-40 Neiva, Colombia. 5. MD, MSc, Fundación Neumológica Colombiana - Universidad de La Sabana, Calle 163A # 13B - 85 Bogotá, Colombia. 6. MD, MSc, Fundación Neumológica Colombiana - Universidad de La Sabana, Fundación Cardioinfantil, Calle 163A # 13B - 85 Bogotá, Colombia.
Abstract
INTRODUCTION: Hafnia alvei is an enterobacteria that is a common inhabitant of the gastrointestinal flora of bees, birds, fish, and mammals. In humans this enterobacteria has been recovered from the oropharynx and the gastrointestinal tract but it has been rarely reported as a pathogen and usually identified as hospital-acquired enterobacteria. CASE REPORT: We describe a case of a 57-year-old woman, previously healthy, with a 7-day history of cough with brown sputum, sudden onset of chills, subjective fever, malaise, and pleuritic pain in the right hemithorax. A diagnosis of community-acquired pneumonia (CAP) was suspected and empiric antibiotic treatment was started. However, the patient showed no response and developed hemoptysis. A diagnosis of CAP by Hafnia alvei was confirmed with bronchoalveolar lavage and the patient was treated with i.v. cefepime 2 g TID with a good response. CONCLUSIONS: We presented a case of community-acquired pneumonia by Hafnia alvei in a previously healthy patient that, as far as our knowledge reaches, is the third reported case of CAP secondary to this pathogen. GERMS.
INTRODUCTION: Hafnia alvei is an enterobacteria that is a common inhabitant of the gastrointestinal flora of bees, birds, fish, and mammals. In humans this enterobacteria has been recovered from the oropharynx and the gastrointestinal tract but it has been rarely reported as a pathogen and usually identified as hospital-acquired enterobacteria. CASE REPORT: We describe a case of a 57-year-old woman, previously healthy, with a 7-day history of cough with brown sputum, sudden onset of chills, subjective fever, malaise, and pleuritic pain in the right hemithorax. A diagnosis of community-acquired pneumonia (CAP) was suspected and empiric antibiotic treatment was started. However, the patient showed no response and developed hemoptysis. A diagnosis of CAP by Hafnia alvei was confirmed with bronchoalveolar lavage and the patient was treated with i.v. cefepime 2 g TID with a good response. CONCLUSIONS: We presented a case of community-acquired pneumonia by Hafnia alvei in a previously healthy patient that, as far as our knowledge reaches, is the third reported case of CAP secondary to this pathogen. GERMS.
Authors: M R Millán Rodríguez; M A Muñoz Pérez; M D Meseguer Frutos; A Cano Sánchez; F Román López Andreu; J Soriano Palao Journal: An Med Interna Date: 2003-11
Authors: Adam Andruska; Scott T Micek; Yuichiro Shindo; Nicholas Hampton; Brian Colona; Sandra McCormick; Marin H Kollef Journal: Chest Date: 2015-07 Impact factor: 9.410