Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report
Acinetobacter junii, a rare human pathogen, poses a challenge in identification due to its complex diagnostic requirements. While generally nonfatal, it can lead to severe infections, often affecting immunocompromised individuals. We present a case of a 32-year-old nonsmoking make farmer with a 6-ye...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | The Journal of Association of Chest Physicians |
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| Online Access: | https://journals.lww.com/10.4103/jacp.jacp_31_24 |
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| author | Jyoti Bajpai Jay Prakash Shukla Shubhajeet Roy Surya Kant Parul Jain Ajay Kumar Verma |
| author_facet | Jyoti Bajpai Jay Prakash Shukla Shubhajeet Roy Surya Kant Parul Jain Ajay Kumar Verma |
| author_sort | Jyoti Bajpai |
| collection | DOAJ |
| description | Acinetobacter junii, a rare human pathogen, poses a challenge in identification due to its complex diagnostic requirements. While generally nonfatal, it can lead to severe infections, often affecting immunocompromised individuals. We present a case of a 32-year-old nonsmoking make farmer with a 6-year history of progressive breathlessness, cough, and right-sided chest pain. Diagnosed with right-sided pneumothorax, the patient underwent pigtail and Mallecot’s catheter insertions. Microbiological analysis revealed A. junii in pleural fluid, sensitive to multiple antibiotics. Successful treatment with meropenem and amikacin resulted in improved hydropneumothorax, leading to the patient’s discharge. Acinetobacter species, primarily opportunistic pathogens, predominantly cause hospital-acquired infections. A. junii, though rare, can lead to severe infections, often associated with nosocomial outbreaks. Notably, our patient, without immunocompromise or critical illness, presented a unique case of A. junii-induced hydropneumothorax, possibly nosocomial in origin. This case underscores the significance of recognizing rare pathogens like A. junii, even in nonimmunocompromised patients. Early identification facilitates prompt treatment, contributing to improved outcomes when coupled with appropriate supportive management. This report adds to the understanding of the diverse clinical presentations of Acinetobacter species. |
| format | Article |
| id | doaj-art-e1fa2e3d677e4ee29da38fa87bd6038a |
| institution | OA Journals |
| issn | 2320-8775 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Journal of Association of Chest Physicians |
| spelling | doaj-art-e1fa2e3d677e4ee29da38fa87bd6038a2025-08-20T02:28:32ZengWolters Kluwer Medknow PublicationsThe Journal of Association of Chest Physicians2320-87752025-01-011313610.4103/jacp.jacp_31_24Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case ReportJyoti BajpaiJay Prakash ShuklaShubhajeet RoySurya KantParul JainAjay Kumar VermaAcinetobacter junii, a rare human pathogen, poses a challenge in identification due to its complex diagnostic requirements. While generally nonfatal, it can lead to severe infections, often affecting immunocompromised individuals. We present a case of a 32-year-old nonsmoking make farmer with a 6-year history of progressive breathlessness, cough, and right-sided chest pain. Diagnosed with right-sided pneumothorax, the patient underwent pigtail and Mallecot’s catheter insertions. Microbiological analysis revealed A. junii in pleural fluid, sensitive to multiple antibiotics. Successful treatment with meropenem and amikacin resulted in improved hydropneumothorax, leading to the patient’s discharge. Acinetobacter species, primarily opportunistic pathogens, predominantly cause hospital-acquired infections. A. junii, though rare, can lead to severe infections, often associated with nosocomial outbreaks. Notably, our patient, without immunocompromise or critical illness, presented a unique case of A. junii-induced hydropneumothorax, possibly nosocomial in origin. This case underscores the significance of recognizing rare pathogens like A. junii, even in nonimmunocompromised patients. Early identification facilitates prompt treatment, contributing to improved outcomes when coupled with appropriate supportive management. This report adds to the understanding of the diverse clinical presentations of Acinetobacter species.https://journals.lww.com/10.4103/jacp.jacp_31_24infectionpneumothoraxintercostal tube drainageradiology |
| spellingShingle | Jyoti Bajpai Jay Prakash Shukla Shubhajeet Roy Surya Kant Parul Jain Ajay Kumar Verma Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report The Journal of Association of Chest Physicians infection pneumothorax intercostal tube drainage radiology |
| title | Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report |
| title_full | Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report |
| title_fullStr | Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report |
| title_full_unstemmed | Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report |
| title_short | Hydropneumothorax Caused by Acinetobacter junii in an Immunocompetent Patient with No Comorbidities: A Rare Case Report |
| title_sort | hydropneumothorax caused by acinetobacter junii in an immunocompetent patient with no comorbidities a rare case report |
| topic | infection pneumothorax intercostal tube drainage radiology |
| url | https://journals.lww.com/10.4103/jacp.jacp_31_24 |
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