| Two cases of necrotizing pneumonia with parapneumonic effusion due to Hafnia alvei |
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Yu Jin Kim, Hee Juang Ryu, Chang Hyeok An, Sung Hwan Jeong, Yiel Hea Seo |
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부산대학교 의과대학 내과학교실 |
| 증례 : Hafnia alvei에 의해 발생된 부폐렴성 흉수를 동반한 괴사성 폐렴 2예 |
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김유진&#;류희정&#;안창혁&#;이상표&#;박정웅&#;정성환&#;서일혜, Hee Juang Ryu, Chang Hyeok An, Sung Hwan Jeong, Yiel Hea Seo |
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| Abstract |
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Hafnia alvei is gram-negative bacilli that found in gastrointestinal track and rarely considered to be pathogenic. It has been associated with gastroenteritis but extraintestinal H. alvei infection is rarely reported.
A 37-year-old man with diabetes mellitus was admitted to our hospital because of pleuritic chest pain and dyspnea. H. alvei was cultured in sputum, bronchial washing, and pleural fluid. The patient was treated with intravenous cefepime and then levofloxacine.
A 67-year-old man with diabetes mellitus, hypertension and vesicostomy state was admitted because of blood-tinged sputum. H. alvei was cultured in sputum in twice. The patient was treated with intravenous piperacilline/tazobactam and then imipenem but expired after 25 days due to multiple organ system failure.
Although rare, H. alvei may be a potential pathogen in a patient with a chronic underlying illness, there is need to attention and intensive management of H. alvei infection.(Korean J Med 69:S840-S845, 2005) |
| Key Words:
Hafnia alvei, Pneumonia, Pleural effusion |
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