J Korean Med Sci.  2005 Feb;20(1):143-145. 10.3346/jkms.2005.20.1.143.

A Case of Pneumonia Caused by Ewingella americana in a Patient with Chronic Renal Failure

• Ryoo NH
• Ha JS
• Jeon DS
• Kim JR
• Kim HC

• KMID: 1781742
• DOI: http://doi.org/10.3346/jkms.2005.20.1.143

Abstract

Though the pathogenic significance and the reservoir of Ewingella americana have not been clarified, this organism has caused several pathogenic infections, especially in immunocompromised patients. We report a pneumonia in a patient with chronic renal failure, who had chronic rejection of transplanted kidney. E. americana was identified to be the pathogen of pneumonia with clinical symptoms and signs and radiological examination. As soon as he was treated with ceftriaxone and isepamicin, clinical improvement was followed with no further growth of E. americana or other pathogenic isolates from sputum culture. This suggests to be the case of pneumonia caused by E. americana for the first time in the Korean literature.

Keyword

Ewingella americana; Kidney Failure, Chronic; Sputum; Pneumonia; Cefatriaxone; Isepamicin

MeSH Terms

Adult
Anti-Bacterial Agents/pharmacology
Ceftriaxone/pharmacology
Enterobacteriaceae/*metabolism
Enterobacteriaceae Infections/*complications
Gentamicins/pharmacology
Humans
Kidney Failure, Chronic/*complications/*microbiology
Kidney Transplantation
Male
Pneumonia/complications/*microbiology
Sputum/metabolism
Time Factors

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