Acinetobacter Baumannii 'e Bağlı Gelişen Beyin Apsesi Olgusu

Abstract

Bu makalede, başından ateşli silah yaralanması nedeniyle beyin cerrahisi bölümünde opere edilen, takibinde menenjit ve beyin absesi gelişen, yapılan kültürde çok ilaca dirençli Acinetobacter baumannii üreyen 23 yaşında bir bayan hasta sunuldu. Tedavide parenteral sulbaktam (3x2 gr I.V.) ve kolistin (3x150 mg I.V.)'e ilaveten intratekal (1x10 mg) kolistin tedavisi uygulandı. Bu tedaviyle hasta iyileşti. Beyin cerrahisi sonrası çok ilaca dirençli Acinetobacter baumannii’ye bağlı olarak gelişen beyin abselerinin mortalite oranları yüksek, tedavi seçenekleri kısıtlı olduğundan bu hastalarda parenteral tedaviye ek olarak intratekal kolistin tedavisinin düşünülmesi gerekir. Çok ilaca dirençli Acinetobacter baumannii’ye bağlı beyin apsesi nadir olduğundan bu vaka sunulmaya değer bulundu.

Keywords

• Acinetobacter baumannii,Beyin absesi,intratekal kolistin

A Case Brain Abces due to Acinetobacter Baumannii

Abstract

In this article, A 23-year-old female patient with menengitis and brain abces due to multy drug resistant Acinetobacter baumannii presents who had been operated in the brain surgery department due to a gunshot injury in her head. Intrathecal (1x10 mg) colistin treatment was performed in addition to sulbactam (3x2 gr I.V.) and colistin (3x150 mg I.V.). The patient is treated with this treatment. Because of the high mortality rates and limited treatment options of the brain abces due to the multy drug resistant Acinetobacter baumannii after brain surgery, intrathecal colistin treatment should be kept in mind in addition to parenteral treatment in these patients. I present this case because of the brain abces due to Acinetobacter baumannii is rare.

References

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