Severe Hospital-acquired Pneumonia Caused by Pan-resistant Acinetobacter Baumannii with Septic Shock in a Postoperative Patient: A Case Report

Authors

  • Metta Octora Master of Public Health Program, Faculty of Medicine and Health Sciences, Mataram University, West Nusa Tenggara, Indonesia , Clinical Microbiology Laboratory, West Nusa Tenggara Provincial General Hospital, West Nusa Tenggara, Indonesia
  • Nur Annisa Kurnia Pulmonology and Respiratory Medicine Residency Program, Faculty of Medicine and Health Sciences, Mataram University, West Nusa Tenggara, Indonesia
  • I Bona Manik Pulmonology and Respiratory Medicine Residency Program, Faculty of Medicine and Health Sciences, Mataram University, West Nusa Tenggara, Indonesia
  • Komang Sri Rahayu Widiasari Department of Pulmonology and Respiratory Medicine, West Nusa Tenggara Provincial General Hospital, West Nusa Tenggara, Indonesia
  • Handayani Clinical Microbiology Laboratory, West Nusa Tenggara Provincial General Hospital, West Nusa Tenggara, Indonesia

DOI:

https://doi.org/10.29303/bewb1h77

Keywords:

Acinetobacter baumannii, HAP, MDR, septic shock, antibiotics

Abstract

Hospital-acquired pneumonia (HAP) is one of the most common nosocomial infections encountered in Intensive Care Units (ICUs) and is associated with high morbidity and mortality rates, particularly when caused by multidrug-resistant (MDR) pathogens such as Acinetobacter baumannii (1,2). We report the case of a 68-year-old woman with a cerebellopontine angle (CPA) tumor who developed severe HAP caused by pan-resistant A. baumannii during hospitalization. The diagnosis was established through the integration of clinical, radiological, and microbiological findings. Despite the administration of broad-spectrum antibiotics and adequate intensive care management, the patient’s condition progressively deteriorated and ultimately resulted in death. This case highlights the importance of clinical vigilance, early diagnosis, and appropriate therapeutic strategies in managing MDR infections.

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Published

2026-11-01