Septic Lung Caused by Methicillin-Resistant Staphylococcus epidermidis

• Published in: Nihon Kyōbu Shikkan Gakkai zasshi Vol. 33; no. 9; pp. 988 - 992
• Main Authors: Fujimoto, Keisaku, Eda, Seiichiro, Hachiya, Tsutomu, Honda, Takayuki, Sato, Etsuro, Kobayashi, Toshio, Morita, Masashige, Sekiguchi, Morie, Kubo, Keishi
• Format: Journal Article
• Language: Japanese
• Published: Japan The Japanese Respiratory Society 01.09.1995
• Subjects: Anti-Bacterial Agents; Bacteremia - drug therapy; Bacteremia - microbiology; Cefotiam - therapeutic use; Cephalosporins - therapeutic use; CNS (Coagulase Negative Staphylococci); Diffuse small nodular shadow; Humans; Lung Diseases - drug therapy; Lung Diseases - microbiology; Male; Methicillin Resistance; Middle Aged; Minocycline - therapeutic use; MRSE (Methicillin-Resistant Staphylococcus epidermidis); Septic Lung; Septic pulmonary microembolism; Staphylococcal Infections; Staphylococcus epidermidis - drug effects
• ISSN: 0301-1542; 1883-471X
• DOI: 10.11389/jjrs1963.33.988

A 55-year-old man was admitted to our department one month after resection of rectal carcinoma, with complaints of fever and general malaise. Shock developed rapidly after admission. The chest X-ray film and computed tomography showed diffuse small nodular shadows and bilateral pleural effusion. Septic lung caused by Methicillin-resistant Staphylococcus epidermidis (MRSE) was diagnosed from the results of a bacteriological study. This bacteria is a Coagulase Negative Staphylococcus (CNS). Chemotherapy with Minocycline and Cefotiam was effective. Characteristic radiologic features of this case may be related to the early stage of adult respiratory distress syndrome (ARDS) and septic pulmonary microembolism.