American Journal of Tropical Medicine and Hygiene
Volume 98, Issue 2, 2018, Pages 376-378

Case report: Carbapenemase-producing enterobacteriaceae in an asylum seeker with multidrug-resistant tuberculosis (Article) (Open Access)

Ravensbergen S.J.* , Louka C. , Lokate M. , Bathoorn E. , Pournaras S. , Van Der Werf T.S. , De Lange W.C.M. , Stienstra Y. , Akkerman O.W.
  • a University of Groningen, University Medical Center Groningen, Department of Internal Medicine, P. O. Box 30 001, Groningen, 9700 RB, Netherlands
  • b University of Groningen, University Medical Center Groningen, Department of Internal Medicine, P. O. Box 30 001, Groningen, 9700 RB, Netherlands, Department of Medical Microbiology, Tzaneio General Hospital of Piraeus, Athens, Greece
  • c Department of Medical Microbiology, University of Groningen, University Medical Centre Groningen, Groningen, Netherlands
  • d Department of Medical Microbiology, University of Groningen, University Medical Centre Groningen, Groningen, Netherlands
  • e Department of Microbiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • f University of Groningen, University Medical Center Groningen, Department of Internal Medicine, P. O. Box 30 001, Groningen, 9700 RB, Netherlands, Department of Pulmonary Diseases and Tuberculosis, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
  • g Department of Pulmonary Diseases and Tuberculosis, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, Tuberculosis Center Beatrixoord, University of Groningen, University Medical Center Groningen, Haren, Netherlands
  • h University of Groningen, University Medical Center Groningen, Department of Internal Medicine, P. O. Box 30 001, Groningen, 9700 RB, Netherlands
  • i Department of Pulmonary Diseases and Tuberculosis, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, Tuberculosis Center Beatrixoord, University of Groningen, University Medical Center Groningen, Haren, Netherlands

Abstract

A Syrian asylum seeker with multidrug-resistant tuberculosis (TB) developed a bronchopleural fistula after pneumonectomy. Although screening tests were negative on admission, carbapenemase-producing Enterobacteriaceae were cultured after a few months ofTBtreatment. Prevalence of multidrug-resistant organisms is reported to be increased in asylum seekers compared with the general Dutch population. Arduous conditions during transit and interrupted health care delivery in our patient led to multiple-resistant microorganisms that complicated treatment. Copyright © 2018 by The American Society of Tropical Medicine and Hygiene.

Author Keywords

[No Keywords available]

Index Keywords

Netherlands carbapenemase producing Klebsiella oxytoca non productive cough refugee carbapenemase producing Pseudomonas aeruginosa follow up human Refugees multidrug resistant tuberculosis Tuberculosis, Multidrug-Resistant procedures asylum seeker Humans male case report Greece clinical article Klebsiella oxytoca polymerase chain reaction prevalence sputum cytodiagnosis cycloserine Article Moxifloxacin atelectasis protionamide cotrimoxazole drug substitution antibiotic prophylaxis adult ST segment elevation myocardial infarction Clofazimine Trimethoprim, Sulfamethoxazole Drug Combination colistin Prothionamide Amikacin thorax radiography antibiotic sensitivity drug monitoring pleura effusion microbiology coughing postoperative period aztreonam Linezolid carbapenem-resistant Enterobacteriaceae rifabutin carbapenemase producing Enterobacteriaceae dyspnea rifampicin Pseudomonas aeruginosa Physical Examination drug effect pyrazinamide bacterium culture cell culture technique lung resection ethionamide thorax pain bronchopleural fistula pathogenicity
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041496444&doi=10.4269%2fajtmh.17-0544&partnerID=40&md5=c4f9b5fa90ebe51e9931a90743c9457b
DOI: 10.4269/ajtmh.17-0544
ISSN: 00029637
Original Language: English