A Case of Community-Acquired Acinetobacter Meningitis.
- Author:
Seo Hee RYU
1
;
Chang Min YU
;
Seong O SUH
;
Jun Hwan KIM
;
Yu Jin KO
;
Jae Hyun PARK
;
Jae Hyun CHO
Author Information
- Publication Type:Case Report
- Keywords: Acinetobacter baumannii; Acinetobacter infection; Acinetobacter; meningitis; Community acquired infection
- MeSH: Acinetobacter; Acinetobacter baumannii; Acinetobacter Infections; Adult; Alcohol Drinking; Central Nervous System; Climate; Comorbidity; Ear; Follow-Up Studies; Humans; Hypertension; Inflammation; Intensive Care Units; Korea; Male; Membranes; Meningitis; Pneumonia; Smoke; Smoking; Thienamycins
- From:Infection and Chemotherapy 2012;44(6):473-476
- CountryRepublic of Korea
- Language:Korean
- Abstract: Acinetobacter baumannii infections have become significant pathogen in hospitalized patients, especially in the intensive care unit setting. Community-acquired Acinetobacter meningitis in adults is a very rare infection of the central nervous system. Most community-acquired Acinetobacter infections have been reported from countries with a tropical or subtropical climate. Acinetobacter infections mainly affect patients with some form of comorbidity and are also associated with heavy smoking and excess alcohol consumption. In our case, a 62-year-old male patient with DM, hypertension, and excess alcohol consumption developed meningitis. Bulging membrane and inflammation were observed in the right ear. A. baumannii meningitis was confirmed by blood, CSF, and ear discharge culture. The patient was treated effectively with meropenem for 21 days. After antibiotic treatment, follow-up cultures of CSF, blood, and ear discharge showed a negative result, and the CSF cell profile was normalized. However, the patient died of recurrent pneumonia on hospital day 45. We report on a case of community-acquired Acinetobacter meningitis in an adult in Korea.
