The treatment of nosocomial meningitis and brain abscess by carbapenem-resistant Klebsiella pneumonia.

Abstract:

:We report the fourth case of Carbapenem-resistant Klebsiella pneumoniae (CRKP) meningitis and the only one associated with brain abscess formation. A 29-years-old male patient developed septic shock 13 days after a right nasopharyngeal AVM resection. CRKP was grown from CSF with a MIC for meropenem ≥16 mg/L. Intravenous tigecycline and amikacin, combined with intrathecal amikacin and oral sulfamethoxazole were given. CSF culture was sterile on the 23rd day post operation. A right temporal lobe brain abscess formed by day 38 and was drained. Antibiotics were changed to oral sulfamethoxazole and minocycline for four weeks. The patient was cured with no relapse to date. With few cases reported we can only carefully recommend the combinational use of intravenous antibiotics with high dose intrathecal/intraventricular aminoglycosides.

journal_name

Br J Neurosurg

authors

Chen Y,Liu L

doi

10.1080/02688697.2018.1530729

subject

Has Abstract

pub_date

2019-07-25 00:00:00

pages

1-3

eissn

0268-8697

issn

1360-046X

pub_type

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