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A Case of Multidrug-resistant Acinetobacter baumannii Ventriculitis Successfully Treated with Intrathecal Colistimethate
Yu-ah Hong, M.D., Jin-Hong Yoo, M.D., Jin-Jin Kim, M.D., Eun-Yeong Mo, M.D., Gun-Hee Ahn, M.D., Hee-Kyoung Jeong, M.D., Jin-Seok Kim, M.D., Hyun-Jeong Lee, M.D., Mi-Hyang Jung, M.D., and Seung-Bae Yoon, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Vol.41 Num.4 (p240~244)
Acinetobacter species is a non-fermentative aerobic gram-negative coccobacillus that is an important pathogen found in nosocomial infections. Recently, multi-drug resistant Acinetobacter baumannii (MDR-AB) infections have been increasing and pose a serious problem. Most such infections present as bacteremia, pneumonia, or a wound infection; however, CNS infections are very rare. We herein present a case of ventriculitis caused by MDR-AB in a 37-year old man after a neurosurgical intervention. The patient was successfully treated with intrathecal colistimethate.
Keywords : Acinetobacter, Colistimethate sodium (colistin), CNS infection