Successful treatment of ventriculitis due to multidrug resistant Acinetobacter baumanii with intravenous and intraventricular colistin

Authors

  • Víctor A. Ramírez-Palomino Departamento de Neurocirugía, Unidad de Cuidados Intensivos Neuroquirúrgicos, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud. Lima
  • Giancarlo Saal-Zapata Departamento de Neurocirugía, Servicio de Neurocirugía Endovascular, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud. Lima

DOI:

https://doi.org/10.20453/rmh.v32i1.3948

Abstract

Central nervous system infections associated with devices such as external ventricular drains are frequent. Ventriculitis due to multi drug resistant (MDR) Gram-negative bacteria represent a surgical and medical challenge. We present the case of a patient who presented with intraventricular hemorrhage due to a rupture of an arteriovenous malformation that needed the insertion of an external ventricular drainage. The patient subsequently developed ventriculitis due to a MDR Acinetobacter baumanii confirmed by isolation from the cerebral spinal fluid (CSF) hat was treated based on the drug susceptibility test with intravenous and intraventricular colistin plus meropenem achieving normalization of the CSF parameters. We report the clinical evolution, complications and medical-surgical treatment in the intensive care unit.

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Published

2021-04-16

How to Cite

1.
Ramírez-Palomino VA, Saal-Zapata G. Successful treatment of ventriculitis due to multidrug resistant Acinetobacter baumanii with intravenous and intraventricular colistin. Rev Méd Hered [Internet]. 2021 Apr. 16 [cited 2024 Apr. 26];32(1):46-50. Available from: https://revistas.upch.edu.pe/index.php/RMH/article/view/3948

Issue

Vol. 32 No. 1 (2021): January - March

Section

CASE REPORTS

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