Respir Case Rep. 2025; 14(1): 15-18 | DOI: 10.5505/respircase.2025.46578

Hastane Kaynaklý Pnömonide Nadir Görülen Bir Etken: Hafnia Alvei

Sibel Doruk, Özgür Batum
Ýzmir Þehir Hastanesi Göðüs Hastalýklarý Bölümü, Ýzmir

Nefes darlýðý, halsizlik, öksürük ve balgam þikayeti ile acil servise baþvuran 67 yaþýnda akciðer kanserli erkek hasta, yoðun bakým ünitesine toplum kökenli pnömoni tanýsý ile yatýrýldý. Bilgisayarlý toraks tomografisinde sol alt lobda kaviter konsolidasyon alaný görüldü, yüksek C-reaktif protein (CRP) ve prokalsitonin (PCT) tespit edildi. Sonrasýnda servise transfer edilen hastada kötü kokulu pürülan balgam geliþti ve CRP ve PCT' de artýþ tespit edildi, balgam örneðinde amoksisilin-klavulanata dirençli, sefalosporin, siprofloksasin, levofloksasin, karbapanem ve piperasilin-tazobaktam duyarlý H. alvei izole edildi ve kombine 14 günlük geniþ etkili ampirik antibiyotik ile tedavi edildi.

Anahtar Kelimeler: H alvei, hastanede geliþen pnömoni, solunum enfeksiyonlarý

---

A Rare Causative Agent in Hospital-acquired Pneumonia: Hafnia Alvei

Sibel Doruk, Özgür Batum
Department of Pulmonology, Ýzmir City Hospital, Ýzmir, Türkiye

A 67-year-old male with lung cancer presented to the emergency department with complaints of dyspnea, fatigue, cough and sputum, and was admitted to the intensive care unit with a diagnosis of community-acquired pneumonia. Computed thoracic tomography revealed a cavitary consolidation lesion in the left lower lobe, and high C-reactive protein (CRP) and procalcitonin (PCT) were detected. The patient was subsequently transferred to the clinic, where a foul-smelling purulent sputum developed and CRP and PCT were increased. H. alvei was isolated form a sputum sample that was resistant to amoxicillin-clavulanate and susceptible to cephalosporins, ciprofloxacin, levofloxacin, carbapenems and piperacillin-tazobactam. The patient was treated with combined empirical antibiotics and then discharged..

Keywords: H alvei, nasocomial pneumonia, respiratory infections

---

ATIF KOPYALA