# Verona Integron-Encoded Metallo-β-Lactamase (VIM)-Producing Pseudomonas aeruginosa Pyelonephritis in a Young Adult: A Case Report

## TL;DR

A young woman was treated successfully for a rare kidney infection caused by antibiotic-resistant bacteria.

## Contribution

This case report documents a rare instance of VIM-producing P. aeruginosa pyelonephritis in a young adult.

## Key findings

- VIM-positive P. aeruginosa was identified in a urine culture from a 23-year-old female.
- Treatment with ceftazidime-avibactam led to a favorable clinical outcome.
- The case underscores the growing threat of carbapenem-resistant P. aeruginosa infections.

## Abstract

We report a case of pyelonephritis caused by Verona integron-encoded metallo-β-lactamase (VIM)-producing Pseudomonas aeruginosa in a 23-year-old female who presented from the community with flank pain and fever, and whose urine culture confirmed the presence of VIM-positive P. aeruginosa. Treatment with ceftazidime-avibactam resulted in a favorable outcome. This case highlights the emerging threat of carbapenem-resistant P. aeruginosa (CRPA) infections and the effectiveness of ceftazidime-avibactam.