Fatal Pneumonia Caused by Corynebacterium Group JK after Treatment of Staphylococcus aureus Pneumonia

Yuko YOSHITOMI; Shigeru KOHNO; Hironobu KOGA; Shigefumi MAESAKI; Yasuhito HIGASHIYAMA; Haruko MATSUDA; Kohtarou MITSUTAKE; Yoshitsugu MIYAZAKI; Hiroshi YAMADA; Kohei HARA; Kazuyuki SUGAHARA; Mitsuo KAKU

doi:10.2169/internalmedicine.31.930

Fatal Pneumonia Caused by Corynebacterium Group JK after Treatment of Staphylococcus aureus Pneumonia

Yuko YOSHITOMI, Shigeru KOHNO, Hironobu KOGA, Shigefumi MAESAKI, Yasuhito HIGASHIYAMA, Haruko MATSUDA, Kohtarou MITSUTAKE, Yoshitsugu MIYAZAKI, Hiroshi YAMADA, Kohei HARA, Kazuyuki SUGAHARA, Mitsuo KAKU

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Keywords: nondiphtheria corynebacteria, transtracheal aspiration, bacterial change

JOURNAL FREE ACCESS

1992 Volume 31 Issue 7 Pages 930-932

DOI https://doi.org/10.2169/internalmedicine.31.930

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Abstract

A 76-year-old man who was admitted to the hospital because of chronic renal insufficiency and chronic hepatitis died of Corynebacterium group JK pneumonia, after showing a slight improvement by treatment of Staphylococcus aureus with sulbactam/cefoperazone and minocycline. Transtracheal aspiration (TTA) just before his death revealed numerous gram-positive bacilli phagocytized by many neutrophils and more than 10⁸ colony forming units (CFU)/ml of Corynebacterium group JK. A drug susceptibility test showed Corynebacterium group JK was resistant to many antibiotics, with the exception of vancomycin and amikacin.
(Internal Medicine 31 : 930-932, 1992)

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