Chinese Medical Sciences Journal ›› 2014, Vol. 29 ›› Issue (1): 51-54.doi: 10.1016/S1001-9294(14)60025-0
Hong-min Zhang,Da-wei Liu*,Xiao-ting Wang,Yun Long,Huan Chen
Hong-min Zhang,Da-wei Liu*,Xiao-ting Wang,Yun Long,Huan Chen
摘要:
IN the presence of septic shock, every hour in delaying the administration of effective antibiotics is associated with a measurable increase in mortality. This is especially true for neutropenic patients with septic shock.1 As there is a higher incidence of involving multi-drug resistant pathogens for neutropenic patients, the decision on antibiotics regime remains a challenge for physicians.2 Immunosuppression and previous antibacterial use are factors that promote the spread of multi-drug resistant pathogens, and the possibility of co-existing multi-drug resistant pathogens should be suspected when treating patients with these risk factors who developed refractory shock. Here we present a case with neutropenic fever and refractory shock whose blood culture yielded multi-drug resistant Acinetobacter baumannii and carbapenem- resistant Klebsiella pneumoniae.