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

We report a case of pyelonephritis caused by Verona integron-encoded metallo-β-lactamase (VIM)-producing <i>Pseudomonas aeruginosa</i> 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 <i>P. aeruginosa</i>. Treatment with ceftazidime-avibactam resulted in a favorable outcome. This case highlights the emerging threat of carbapenem-resistant <i>P. aeruginosa</i> (CRPA) infections and the effectiveness of ceftazidime-avibactam.