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Treatment of ventriculoperitoneal shunt infection and ventriculitis caused by Acinetobacter baumannii: a case report

Journal of medical case reports, 2018-05, Vol.12 (1), p.141-141, Article 141 [Peer Reviewed Journal]

COPYRIGHT 2018 BioMed Central Ltd. ;Copyright © 2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the terms of the License. ;The Author(s). 2018 ;ISSN: 1752-1947 ;EISSN: 1752-1947 ;DOI: 10.1186/s13256-018-1680-5 ;PMID: 29788980

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Title:
Treatment of ventriculoperitoneal shunt infection and ventriculitis caused by Acinetobacter baumannii: a case report
Author: Demoz, Gebre Teklemariam ; Alebachew, Minyahil ; Legesse, Yirga ; Ayalneh, Belete
Subjects: Acinetobacter baumannii ; Acinetobacter baumannii - isolation & purification ; Acinetobacter Infections - etiology ; Acinetobacter Infections - therapy ; Ampicillin - therapeutic use ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Bacteria ; Bacterial infections ; Brain cancer ; Care and treatment ; Case Report ; Cerebellar Neoplasms - complications ; Cerebellar Neoplasms - surgery ; Cerebral Ventriculitis - microbiology ; Cerebral Ventriculitis - therapy ; Child ; Complications and side effects ; Consciousness ; Decompression, Surgical ; Drug resistance ; Drug Resistance, Multiple, Bacterial ; Extra ventricular drainage (EVD) ; Fever ; Genomes ; Humans ; Hydrocephalus ; Hydrocephalus - etiology ; Hydrocephalus - therapy ; Infections ; Infectious diseases ; Intensive care ; Male ; Medulloblastoma - complications ; Medulloblastoma - surgery ; Meningitis ; Multidrug resistance (MDR) ; Nephritis ; Nervous system ; NMR ; Nuclear magnetic resonance ; Pediatrics ; Proteins ; Sulbactam - therapeutic use ; Surgery ; Ventriculitis ; Ventriculoperitoneal shunt ; Ventriculoperitoneal Shunt - adverse effects
Is Part Of: Journal of medical case reports, 2018-05, Vol.12 (1), p.141-141, Article 141
Description: Acinetobacter baumannii (A. baumannii) infections are a recognized problem in healthcare, causing ventriculoperitoneal shunt infection and ventriculitis. Such infections are serious intracranial infection that can lead to serious complication and death. Treatment of infection caused by A. baumannii becomes difficult because of its inclination to develop pandrug resistance to the universally used antibiotics. In this case, we focused on pediatric ventriculitis/shunt infection caused by A. baumannii in an extensive follow-up and report the subsequent treatment outcome. Very limited information regarding the therapeutic options against A. baumannii ventriculitis/shunt infection is available in our hospital. Thus, we present one such case and the problems in its treatment. We reported the case of a 6-year-old Ethiopian boy who developed ventriculitis/shunt infection from the pandrug-resistant strain of A. baumannii, after decompression of a craniotomy for medulloblastoma. Following the surgical procedure, he had developed hydrocephalus and ventriculoperitoneal shunt infection/ventriculitis as he presented with persistent fever, elevated white blood cell count, reduced glucose level, and the cerebrospinal fluid culture revealed A. baumannii, which was not responding to most of commercially available antibiotics systemically. Our patient was successfully treated with intravenous ampicillin-sulbactam. We presented our case of pandrug-resistant A. baumannii ventriculoperitoneal shunt infection and ventriculitis successfully treated with a systemic ampicillin-sulbactam. Provision of systemic ampicillin-sulbactam should not be undermined. Therefore, this case exemplifies that intravenous administration of ampicillin-sulbactam can be a good therapeutic option against A. baumannii ventriculoperitoneal shunt infection and ventriculitis.
Publisher: England: BioMed Central Ltd
Language: English
Identifier: ISSN: 1752-1947
EISSN: 1752-1947
DOI: 10.1186/s13256-018-1680-5
PMID: 29788980
Source: SpringerOpen
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
PMC (PubMed Central)
ROAD: Directory of Open Access Scholarly Resources
ProQuest Central
DOAJ Directory of Open Access Journals

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Treatment of ventriculoperitoneal shunt infection and ventriculitis caused by Acinetobacter baumannii: a case report

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