Indian Journal of Critical Care Case Report

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VOLUME 1 , ISSUE 2 ( September-October, 2022 ) > List of Articles

CASE REPORT

A Rare Case Report of Pneumonia with Bloodstream Infection by Kocuria kristinae

Karan Shah, Yogesh Bhargava

Keywords : Acute respiratory distress syndrome, Cytokine removal therapy, Cytokine storm, Kocuria kristinae, Septic shock, Subcutaneous emphysema

Citation Information : Shah K, Bhargava Y. A Rare Case Report of Pneumonia with Bloodstream Infection by Kocuria kristinae. 2022; 1 (2):37-39.

DOI: 10.5005/jp-journals-11006-0014

License: CC BY-NC 4.0

Published Online: 04-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

We are presenting a rare case of pneumonia with acute respiratory distress syndrome (ARDS), septic shock, and cytokine storm by Kocuria kristinae. K. kristinae is usually a commensal, but it can be a pathogenic organism as well. We started teicoplanin as per the culture sensitivity report and continued for 10 days. We did ARDSnet protocol ventilation along with cytokine removal therapy as interleukin 6 (IL-6) level was very high (>5000) during and after cytokine removal therapy, oxygen, and vasopressors requirement reduced dramatically. The patient also developed subcutaneous emphysema, so the peep was reduced, which resolved conservatively. Over the period of time patient improved, was extubated, and discharged.


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