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Thorac Cardiovasc Surg Rep 2016; 05(01): 16-17
DOI: 10.1055/s-0035-1569993
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Lung Transplantation in a Multidrug-Resistant Gram-Negative Acinetobacter Baumannii–Colonized Patient: A Case Report

Katharina Huenges
1   Department of Cardiovascular Surgery, University of Schleswig-Holstein Campus Kiel, Kiel, Germany
,
Alexander Reinecke
1   Department of Cardiovascular Surgery, University of Schleswig-Holstein Campus Kiel, Kiel, Germany
,
Burkhard Bewig
2   Department of Internal Medicine I, University of Schleswig Holstein Campus Kiel, Kiel, Germany
,
Assad Haneya
1   Department of Cardiovascular Surgery, University of Schleswig-Holstein Campus Kiel, Kiel, Germany
,
Jochen Cremer
1   Department of Cardiovascular Surgery, University of Schleswig-Holstein Campus Kiel, Kiel, Germany
› Author Affiliations
Further Information

Publication History

26 July 2015

19 October 2015

Publication Date:
16 December 2015 (online)

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Abstract

Colonization or infection with various pathogens is frequently found in patients listed for lung transplantation. We describe a case of a 50-year-old woman with α-1-antitrypsin deficiency, which was listed for double-lung transplantation, with multidrug-resistant gram-negative Acinetobacter baumannii (MRGN4-Ab) skin colonization. Transplantation was successfully performed. Colistin (Polymyxine E) was administered intravenously and through inhalation in the first month. MRGN4-Ab was still detectable in skin swabs without evidence of infection. After good recovery and clinical inapparence, the patient was discharged 2 months after transplantation.

Keywords

lung transplantation - α-1-antitrypsin deficiency - Multidrug-resistant Acinetobacter baumannii
 

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