MULTIDRUG-RESISTANT POLYMICROBIAL BACTEREMIA AND SEPSIS: A RARE CASE REPORT

Abstract

Antibiotic-resistance is currently a serious threatening factor to global public health that needs a universal action by all government sectors and societies. Here, we report an aggressive case of multidrug-resistant (MDR) polymicrobial bacteremia and sepsis. A 73-year-old male patient was admitted to a tertiary hospital with the complaints of breathlessness, cough with expectorations, vomiting, loose stools, and altered sensorium due to polymicrobial bacteremia and sepsis, which was found to be antibiotic resistant. Blood culture reports showed Pseudomonas aeruginosa and Pseudomonas putida, and sputum culture showed Acinetobacter baumannii and Klebsiella pneumonia. However, according to the culture sensitivity test reports, the organisms were resistant to almost all antibiotics and different antibiotics were tried. On the last day of hospitalization, the patient started desaturation and developed bradycardia and after sometimes cardiac arrest. In spite of continuous cardiopulmonary resuscitation, the patient could not be resuscitated and declared to be dead. The patient was finally diagnosed with MDR polymicrobial bacteremia and sepsis, chronic obstructive pulmonary disease with cor pulmonale, colitis, diabetes mellitus, hypertension, and respiratory acidosis. Although polymicrobial bacteremia and sepsis are rare, awareness of such conditions and of the rare causative pathogens, such as A. baumannii, especially in patients with comorbidities, will help treat the patients with bacteremia and sepsis.