Community-Acquired Pyelonephritis in Pregnancy Caused by KPC-Producing Klebsiella pneumoniae

August 17, 2015 at 10:12 pm

Antimicrobial Agents and Chemotherapy AUG. 2015 V.59 N.8 P.4375-4378

Asma Khatri, Nina Naeger Murphy, Peter Wiest, Melissa Osborn, Kathleen Garber, Michelle Hecker, Kelly Hurless, Susan D. Rudin, Michael R. Jacobs, Robert C. Kalayjian, Robert A. Salata, David van Duin, Federico Perez, Robert A. Bonomo, David L. Paterson, and Patrick N. A. Harris

aMetroHealth Medical Center, Cleveland, Ohio, USA

bCase Western Reserve University, Cleveland, Ohio, USA

cUniversity of North Carolina, Chapel Hill, North Carolina, USA

dUniversity Hospitals Case Medical Center, Cleveland, Ohio, USA

eLouis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA

fUniversity of Queensland Centre for Clinical Research, Royal Brisbane and Women’s Hospital, Brisbane, Australia

Carbapenem-resistant Enterobacteriaceae (CRE) usually infect patients with significant comorbidities and health care exposures.

We present a case of a pregnant woman who developed community-acquired pyelonephritis caused by KPC-producing Klebsiella pneumoniae.

Despite antibiotic treatment, she experienced spontaneous prolonged rupture of membranes, with eventual delivery of a healthy infant.

This report demonstrates the challenge that CRE may pose to the effective treatment of common infections in obstetric patients, with potentially harmful consequences to maternal and neonatal health.

PDF

http://aac.asm.org/content/59/8/4375.full.pdf

Entry filed under: Antimicrobianos, Bacterias, Bacteriemias, Infecciones urinarias, Metodos diagnosticos, REPORTS, Resistencia bacteriana, Sepsis, Update. Tags: .

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