Author :
Johanna Marcela Abril-Victorino,Veronica Calleja-Muñoz,Maite Arlaban-Carpintero,Javier Ceña-Carazo
Volume :
7
Issue :
1
Abstract :
A 53-year-old man was admitted to the Intensive Care Unit (ICU) due to peritonitis secondary to intestinal perforation and septic shock. After being discharged from the ICU, the patient developed bronchial obstruction increased respiratory secretions, and a greater need for oxygen therapy. A computed tomography (CT) scan of the chest and abdomen revealed a left subphrenic collection that communicated with the left hemithorax and bilateral basa pneumonia (Figure 1A). Pseudomonas aeruginosa producing carbapenemase was isolated from the patient's respiratory secretions, leading to the initiation of targeted antibiotic therapy.
Keyword :
Bronchoperitoneal fistula; Subphrenic abscess; Respiratory failure; Pneumonia; Mechanical ventilation