Successful Use of Sulbactam–Durlobactam in Treating Carbapenem-Resistant Acinetobacter baumannii Pneumonia and Sepsis After Liver Transplantation: A Case Report

21 January 2026 : Case report China

Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care, Patient complains / malpractice

Hao-Feng Xiong

^{ABCEF 1}, Wan-Ting Zhang

^{BCE 1}, Ying Liu^{BD 1}, Fei Hou

^{BF 1}, Bang Liu

^{BCF 1}, Ting-Ting Cui

^{BC 1}, Zhi-Ying He

^{BCD 1}, Xin Zhang

^{BD 1}, Rui Zhao

^{D 1}, Li-Ying Sun

^{AEFG 1,2,3,4*}

DOI: 10.12659/AJCR.949738

Am J Case Rep 2026; 27:e949738

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Table 1 Body temperature and laboratory findings during anti-infective therapy.

Date	18-Feb	19-Feb	20-Feb	21-Feb	22-Feb	23-Feb	24-Feb	25-Feb	26-Feb	27-Feb	28-Feb	1-Mar	2-Mar
Temperature	37.8	36.5	38.5	38	38	38.5	39.5	39	38.5	37.8	38.3	38.7	38.2
White blood cell count	12.3	7.43	5.73	8.25	10.32	8	12.19	2.08	1.93	3.99	4.41	4.93	5.21
Neutrophil count	8.96	5.59	5.04	7	9	8	11	1.67	1.55	3.61	3.69	3.89	4.06
Hemoglobin	110	102	93	80	79	77	74	63	71	75	65	55	61
C-reactive protein			33	83	119	178	146	260	276	251	199	107
Interleukin-6	34.9		321.9				352.2		612.6		70.8	48.5	66.7
Procalcitonin	0.35		1.85				1.14		3.62		3.76	2.4	1.36
ALT	321	331	1255	2480	2292	1527	1056	590	440	265	210	223	208
T-BIL	387	405	140	74	75	53	51	59	68	57	56	49	43
PTA	26%	31%	35%	33%	48%	63%	50%	58%	57%	57%	60%	55%	57%
INR	2.91	2.45	2.22	2.32	1.71	1.39	1.66	1.46	1.5	1.5	1.44	1.53	1.49
NH3	233	221	160	132	98	77	82	73	64	117	78	74	53

Temperature	37.8	38	37.8	38.5	38.5	37.8	38	38.5	37.7	37.7	37.8	37.8	37
White blood cell count	6.07	6.14	7.72	6.88	7.52	6.5	6.1	4.31	4.86		6.87	8.79	10.77
Neutrophil count	5.02	5.65	6.82	5.7	6.19	5.23	4.84	3	3.67		5.3	7.14	8.7
Hemoglobin	71	64	85	73	76	74	77	73	70		68	70	72
C-reactive protein	50	61	85.9		78.3			51	54.9		61.3		70.8
Interleukin-6	38.7		79.8		63.5		61.3		47.9		83.4		72
Procalcitonin	1.24		0.89		0.7		0.72		0.85		1.06		1.72
ALT	274	289	317	288	266	244		228		209	258	223	223
T-BIL	48	47	36	35	37	38		37		30	29	30	28
PTA	60%	56%	55%	50%	53%	62%		33%	45%	54%	59%	61%	63%
INR	1.45	1.51	1.53	1.64	1.58	1.41		2.31	1.99	1.58	1.47	1.44	1.44
NH3	57	64	54					57
ALT – alanine aminotransferase; PTA – prothrombin time activity; INR – international normalized ratio; NH – ammonia

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