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Sudden Onset Ventilator-Associated Pneumonia Causing Mortality after Multiple Trauma in Liver Transplant Patient

Journal of Surgical Infection 2020년 5권 1호 p.23 ~ 26
최낙준,
소속 상세정보
최낙준 ( Choi Nak-Jun ) - Korea University Guro Hospital Department of Surgery

Abstract


A 52-year-old male patient visited the emergency room after falling from the seventh floor. He had a liver transplant tow months ago for alcoholic cirrhosis and was taking immunosuppressive drugs. Orthopedic surgeon applied splint after saline irrigation for left tibial open fracture. Thoracostomy was performed for bilateral hemopneumothorax and embolization was done at the segmental branch of left pulmonary artery and bilateral internal iliac artery after preperitoneal packing for pelvic injury. On the 2nd hospital day, the patient was admitted to intensive care unit to maintain critical care and administered 1st generation cephalosporin and gentamicin for open fracture. In the 5th hospital day afternoon, sudden onset pneumonia developed. We changed antibiotics and applied extra corporeal membrane oxygenation, but the patient died without recovery from septic shock on the 6th hospital day.

키워드

Trauma; Transplant; Ventilator-associated pneumonia; Anti-bacterial agents

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