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New Delhi Metallo-?-Lactamase 1 (NDM 1) Klebsiella Pneumoniae in Saudi Arabia First Case the Report and Literature Review.

Mazin Barry1*, Mohammed AlGhamdi1, Kutubo Manneh1, Abiola Senok2 and Ali Somily3

Our patient is a 56 years old Indian gentleman who presented to our hospital’s emergency department with right upper quadrant pain
which started three hours earlier, the pain was colicky and moderately severe, there was none of the following: radiation, nausea, vomiting,
fever nor jaundice. He was hemodynamically stable, on physical exam he had mild tenderness over the right upper quadrant, no guarding nor
rigidity, bowel sounds were audible, liver function tests were sent and all the enzymes and bilirubin were within normal range. No ultrasound was done at this time; he was given intramuscular scopolamine, and was prescribed ranitidine daily.