Abstract
In recent years, attention has been focused on the genus Acinetobacter as a pathogenic bacterium of healthcare associated infections. Many cases are the opportunistic infection toward the compromised hosts. In this study, we report a case which needed the intensive care owing to Acinetobacter baumannii blood stream infection through the peripheral vein catheter. The patient was a 69-year-old male and was admitted to the hospital owing to the upper gastrointestinal hemorrhage. When he entered the hospital, rubefaction was found on the keeping place of the peripheral vein catheter, which was subsequently taken off. However, the situation worsened and he had to be controlled in ICU. At the ICU, he had septic shock, disseminated intravascular coagulation and acute renal failure, and A. baumannii was detected from the blood culture. His condition improved by multidisciplinary treatment. He was allowed out of ICU on the 18th day and left the hospital walking on his own on the 36th day. It has been often reported that genus Acinetobacter happens to gain multiple drug resistance toward antimicrobial agents and that such antibiotic-resistant bacteria outbreaks in and out of ICU. Although the blood stream infection through the peripheral vein catheter has been seldom reported, it happens that the non-compromised hosts have the blood stream infection like this case. To say nothing of the usual preventive measure against the infection, it is also important that we use antimicrobial agents properly in order not to grow the multiple drug resistant bacteria.
