Mendelson's syndrome complicated by bacterial aspiration pneumonia triggered by right putamen bleeding: A case report. (2021)

• Record Type: Journal Article
• Authors: Nakashima, Saki; Miyamoto, Atsushi; Takahashi, Yui; Nakahama, Hiroshi; Moriguchi, Shuhei; Murase, Kyoko; Morokawa, Nasa; Daiya, Takai
• Is Part Of: Respiratory medicine case reports. Volume 33(2021)
• Publication Date: 2021
• Subjects: Mendelson's syndrome -- Chemical pneumonitis -- Acute respiratory distress syndrome -- Putamen bleeding; ARDS acute respiratory distress syndrome -- CRP C-reactive protein -- CT computed tomography -- FiO2 fraction of inspired oxygen -- ICU intensive care unit -- PaO2 partial pressure of oxygen in arterial blood -- SpO2 oxygen saturation of arterial blood -- WBC white blood count; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2021.101466
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: We present the case of an 80-year-old woman with Mendelson's syndrome complicated by bacterial aspiration pneumonia caused by consciousness loss followed by vomiting resulting from putamen bleeding. Her condition worsened rapidly to develop respiratory failure, within a few hours; thereafter, she was intubated. Streptococcus agalactiae and Klebsiella oxytoca were detected from the aspirated sputum sample culture. She was diagnosed with acute respiratory distress syndrome with Mendelson's syndrome complicated by bacterial aspiration pneumonia. Corticosteroid and antibiotic administration improved her condition and led to successful extubation; therefore, these treatment modalities were invaluable. We suggest the clinical considerations for the corticosteroid and antibiotic use in such cases. Highlights: We report a case of Mendelson's syndrome complicated by bacterial aspiration pneumonia. Use of steroids and antibiotics in such cases is controversial, however, they were reasonable choice in this case. We discussed this debatable issue in this case report.