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Korean Journal of Legal Medicine 2010;34(2):125-128.
Published online November 30, 2010.
A Probable Community-Acquired Pneumonia due to Acinetobacter baumannii Infection Presenting the Positive Pneumothorax Test at Autopsy.
Joo Young Na, Byung Woo Min, Seung Hyun Chung, Mi Yeon Kim, Young Jik Lee, Jong Tae Park, Hyung Seok Kim
1Department of the Forensic Medicine, Chonnam National University Medical School, Gwang-ju, Korea. jtpark@jnu.ac.kr
2Research Institute of Forensic Science, Chonnam National University Medical School, Gwang-ju, Korea.
3Department of Pathology, Saint Carollo Hospital, Sun-Cheon, Chonnam, Korea.
Abstract
We report on a 56-year-old male laborer who injured his thorax in a construction field and complained of chest pain. About 3 weeks later, he was diagnosed as multiple rib fractures and hemothorax and found dead 3 days later at his house. At autopsy, the pneumothorax test was positive, due to not pulmonary parenchymal rupture but pleural adhesion and cavitary abscess from Acinetobacter baumannii pneumonia. Acinetobacter baumannii often causes hospital-acquired pneumonia, but rarely causes community-acquired pneumonia. This is the first report in Korea of a positive pneumothorax test at autopsy caused by community-acquired pneumonia due to Acinetobacter baumannii.
Key Words: autopsy, pneumothorax test, Acinetobacter baumannii, community-acquired pneumonia
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