{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:32:21Z","timestamp":1777923141115,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>\n                      This study reported a fatal stent-associated respiratory tract infection (SARTI) caused by carbapenem-resistant hypervirulent\n                      <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                      (CR-hvKP).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A bare-metal stent in the left main bronchus and a Y-shaped stent graft in the tracheal bronchus were placed successively in a 50-year-old woman due to shortness of breath after undergoing multiple chemotherapy treatments for lung cancer. Unfortunately, the followed SARTI and lung abscess in our patient caused by CR-hvKP eventually led to the death of the patient, despite our aggressive clearing of phlegm and potent antibiotics. The genomic analysis showed it was caused by a KPC-2-producing extensively drug-resistant K64-ST11 hypervirulent\n                      <jats:italic toggle=\"yes\">K. pneumoniae<\/jats:italic>\n                      harboring several virulence and antimicrobial resistance genes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study highlights the risk of SARTI caused by CR-hvKP in immunocompromised individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/mdr.2022.0193","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T14:01:56Z","timestamp":1674136916000},"page":"28-33","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Fatal Stent-Associated Respiratory Tract Infection Caused by K64-ST11 KPC-2-Producing Carbapenem-Resistant Hypervirulent\n                    <i>Klebsiella pneumoniae<\/i>\n                    : A Rare Case Report"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8086-3911","authenticated-orcid":false,"given":"Wenjian","family":"Liao","sequence":"first","affiliation":[{"name":"Department of Respiratory and Critical Care, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, P.R. China."},{"name":"Jiangxi Institute of Respiratory Disease, The First Affiliated Hospital of Nanchang University, Nanchang, China."},{"name":"Jiangxi Hospital of China-Japan Friendship Hospital, Nanchang, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiantian","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, P.R. China."},{"name":"Jiangxi Hospital of China-Japan Friendship Hospital, Nanchang, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhizhe","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, P.R. China."},{"name":"Jiangxi Hospital of China-Japan Friendship Hospital, Nanchang, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuyi","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, P.R. China."},{"name":"Jiangxi Hospital of China-Japan Friendship Hospital, Nanchang, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiong","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care, The First Affiliated Hospital of Nanchang University, Nanchang University, Nanchang, P.R. 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