Resumen

ULLOA-GUTIERREZ, Rolando et al. Neumonía por Streptococcus pneumoniae resistente a penicilina y cefalosporinas de tercera generación: reporte del primer caso en el HNN. Acta pediátr. costarric [online]. 2001, vol.15, n.2, pp.53-56. ISSN 1409-0090.

We describe the case of a six-year-old female that seeked medical attention more than once due to the presence of cough, high fever, respiratory distress and purulent sputum. She received multiple intramuscular and intravenous antibiotics with penicillins, with poor clinical response. Clinical and radiological diagnosis of neumonia was made, and treatment was changed to cefotaxime. Streptococcus pneumoniae was isolated from sputum culture, showing resistance to penicillin and third-generation cephalosporins. In our media, this is the first reported case of pneumococcal pneumonia by a strain exhibiting multiple resistance to penicillins and third-generation cephalosporins.

Palabras clave : Streptococcus pneumoniae; Costa Rica; América Central; América Latina; resistencia antibiótico; penicilina; cefotaxime; ceftriaxone.