Pneumologie 2022; 76(07): 499-502
DOI: 10.1055/a-1718-2521
Kasuistik

Seltene Ursache eines Lungentumors – Fallbericht einer pulmonalen Infektion mit Hafnia alvei

Rare Cause of Lung Tumour – Pulmonary Infection with Hafnia alvei: A Case Report
1   LMU, Department of Medicine V, München
,
Michael Trautnitz
2   Kreisklinik Wolfratshausen gGmbH, Innere Medizin, Wolfratshausen
,
Jürgen Behr
3   LMU, Department of Medicine V, München
› Author Affiliations

Zusammenfassung

Bei Verdacht auf maligne Erkrankung ist die rasche Abklärung tumorverdächtiger pulmonaler Raumforderungen geboten. Im vorgestellten Fall gelang mehrmals kein Nachweis von Malignität. Erst die testgerechte antibiotische Behandlung eines inital als Verunreinigung gewerteten Darmkeimes brachte den Therapieerfolg mit Totalremission. Hierbei war die Behandlung mit dem Breitspektrumpenicillin Piperacillin/Tazobactam ineffektiv und erst die Gyrasehemmer Ciprofloxacin bzw. Levofloxacin brachten den Therapieerfolg.

Abstract

If a malignant disease is suspected, rapid diagnosis of suspicious pulmonary masses is required. In the presented case, malignancy was repeatedly not proven. Only the test-appropriate antibiotic treatment of an intestinal germ that was initially assessed as an impurity brought the therapeutic success with total remission. In our case the treatment with broad-spectrum penicillin piperacillin/tazobactam was ineffective and only the gyrase inhibitors ciprofloxacin and levofloxacin brought therapeutic success.



Publication History

Article published online:
10 January 2022

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