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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 24 (2013), Issue 3, Pages e88-e90
http://dx.doi.org/10.1155/2013/613865
Case Report

Successful Management of Nosocomial Ventriculitis and Meningitis Caused by Extensively Drug-Resistant Acinetobacter baumannii in Austria

M Hoenigl,1,2 M Drescher,1 G Feierl,3 T Valentin,1 G Zarfel,3 K Seeber,1 R Krause,1 and AJ Grisold3

1Section of Infectious Diseases, Department of Medicine, Medical University of Graz, Graz, Austria
2Division of Pulmonology, Medical University of Graz, Graz, Austria
3Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria

Copyright © 2013 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nosocomial infections caused by the Gram-negative coccobacillus Acinetobacter baumannii have substantially increased over recent years. Because Acinetobacter is a genus with a tendency to quickly develop resistance to multiple antimicrobial agents, therapy is often complicated, requiring the return to previously used drugs. The authors report a case of meningitis due to extensively drug-resistant A baumannii in an Austrian patient who had undergone neurosurgery in northern Italy. The case illustrates the limits of therapeutic options in central nervous system infections caused by extensively drug-resistant pathogens.