Carbapenem-resistant Acinetobacter baumannii
infection is a critically prioritized pathogen by the World Health Organization and a cause for growing concern due to increased mortality among hospitalised patients. Phrenic nerve
palsy is a rare complication of
herpes zoster infection of the C3, C4, and C5 nerve roots. We present a case of bloodstream
carbapenem-resistant A. baumannii
infection in a Ghanaian patient with HIV type 1
infection and multiple risk factors, including unilateral
diaphragmatic eventration with
compression atelectasis likely secondary to phrenic nerve
palsy due to
herpes zoster infection, consequently leading to recurrent hospital and ICU admission. In this case, we emphasize the need for clinicians in LMICs to be aware of CRAB, in order to advocate for the availability of evidence-based medicines in resource-limited settings for appropriate treatment. In addition, we illustrate the importance of a high index of suspicion for
infection with
carbapenem-resistant organisms such as A. baumannii and highlight a rare and severe complication of
herpes zoster infection in the form of phrenic nerve
palsy and consequent
diaphragmatic eventration.