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Volume 18, Issue 4 (Jul-Aug 2024)
mljgoums 2024, 18(4): 27-31 |
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Ahmadnia Z, Rouhi S, Mehdinezhad H, Sabaghi S, Firouzjahi A, Ranaei M, et al . Isolation of Pasteurella multocida and pan-drug-resistant bacteria causing nosocomial infection in a patient with multiple sclerosis: A Case Report and Literature Review. mljgoums 2024; 18 (4) :27-31
URL: http://mlj.goums.ac.ir/article-1-1673-en.html
URL: http://mlj.goums.ac.ir/article-1-1673-en.html
Zahra Ahmadnia1 
, Samane Rouhi1 , Hamed Mehdinezhad1 , Siamak Sabaghi1 , Alireza Firouzjahi1 , Mohammad Ranaei1 , Hossein Ghorbani1 , Maryam Pourtaghi1 , Mana Baziboron2
, Samane Rouhi1 , Hamed Mehdinezhad1 , Siamak Sabaghi1 , Alireza Firouzjahi1 , Mohammad Ranaei1 , Hossein Ghorbani1 , Maryam Pourtaghi1 , Mana Baziboron2
1- Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
2- Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
2- Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Abstract: (763 Views)
Pasteurella species are one of the most common pathogenic bacteria in domestic animals, and they are seen more in people with weak immune systems. This research aims to investigate a case of a patient with multiple sclerosis from whose sputum Pasteurella multocida (P. multocida) was isolated. The patient was a 28-year-old man with multiple sclerosis who had persistent coughs due to food being stuck in his throat. The patient was a 28-year-old man with multiple sclerosis who had persistent coughs due to food being stuck in his throat. The primary diagnosis was pneumonia hydropneumothorax and complete collapse of the left lung. The patient's sputum culture after the first visit to the hospital was positive for P. multocida, which was not found in a second culture. In the subsequent cultures of the patient, Acinetobacter, Klebsiella, Pseudomonas aeruginosa (P. aeruginosa), and Citrobacter were found, which had extensive drug resistance to all antibiotics. In the secondary computerized tomography (CT) scan, mild pleural effusion on the left side, pneumothorax, and complete collapse with bronchiectasis was seen. Despite the treatments, the patient finally died of cardiac arrest and bradycardia. Infection with P. multocida was found in a patient with multiple sclerosis. Also, hospital-acquired infections with drug resistance caused by the weakness of the patient's system appeared in the patient who was hospitalized in the intensive care unit (ICU), and finally, the patient died. According to antibiotic patterns, the best antibiotic to which the bacteria is sensitive can be considered the primary treatment to avoid irrational antibiotic prescriptions.
Research Article: Case Report |
Subject:
bacteriology
Received: 2023/05/31 | Accepted: 2023/09/12 | Published: 2025/03/11 | ePublished: 2025/03/11
Received: 2023/05/31 | Accepted: 2023/09/12 | Published: 2025/03/11 | ePublished: 2025/03/11
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