Staphylococcus lentus – MR and pan resistance Acinetobacter baumannii. The patient was a woman of 61 years, operated in the neurosurgical clinic  with correct diagnosis "Tumor cerebri" proved with cerebral computed tomography (CT). During a stay in Intensive Care Unit ( ICU ) of cerebrospinal fluid ( CSF ) were isolated Staphylococcus lentus – MR and Acinetobacter baumannii. The most of high risk factors for a patient is meeting with  the same  Acinetobacter baumannii strains, who was proven in the environment of the ICU.  24 days after resection of tumors patient developed clinical picture of acute meningoencephalitis and Systematic Inflamatory Response Syndrome (SIRS). Microbiologic findings includes: pan-resistance Acinetobacter baumannii strain from CSF and surgical granulations. In summary, we present a patient developed nosocomial meningoencephalitis, after resection of brain tumors associated with multi-resistant bacterial flora. The involvement of multiple risk factors associated with basic disease,  gaps in care and inappropriate antibiotic therapy conducted, resulting in the emergence of pan - resistance Acinetobacter baumannii strains are responsible for the development of SIRS finished fatal." /> Fatal Nosocomial meningoencephalitis Caused by Multidrug-Resistant <em>Staphylococcus</em> and <em>Acinetobacter baumannii</em>
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Int.J.Curr.Microbiol.App.Sci.2016.5(12): 930-932
DOI: http://dx.doi.org/10.20546/ijcmas.2016.512.101


Fatal Nosocomial meningoencephalitis Caused by Multidrug-Resistant Staphylococcus and Acinetobacter baumannii
Anna Kircheva1* and Rumen Konstantinov2
1Department of Clinical Epidemiology University Hospital “St. Anna” – Varna, Bulgaria
2Medical University-Varna, Bulgaria
*Corresponding author
Abstract:

Every day  around 1,4 million patients world wide suffer from a infections, associated with hospitalization as a result of "dangerous" medical care. Neurosurgical patients have a high risk of postoperative infections of the central nervous system. Infections associated with multidrug - resistant strains have high mortality rates in patients with serious underlying diseases. We report a case of fatal nosocomial meningoencephalitis, caused by multidrug resistant Staphylococcus lentus – MR and pan resistance Acinetobacter baumannii. The patient was a woman of 61 years, operated in the neurosurgical clinic  with correct diagnosis "Tumor cerebri" proved with cerebral computed tomography (CT). During a stay in Intensive Care Unit ( ICU ) of cerebrospinal fluid ( CSF ) were isolated Staphylococcus lentus – MR and Acinetobacter baumannii. The most of high risk factors for a patient is meeting with  the same  Acinetobacter baumannii strains, who was proven in the environment of the ICU.  24 days after resection of tumors patient developed clinical picture of acute meningoencephalitis and Systematic Inflamatory Response Syndrome (SIRS). Microbiologic findings includes: pan-resistance Acinetobacter baumannii strain from CSF and surgical granulations. In summary, we present a patient developed nosocomial meningoencephalitis, after resection of brain tumors associated with multi-resistant bacterial flora. The involvement of multiple risk factors associated with basic disease,  gaps in care and inappropriate antibiotic therapy conducted, resulting in the emergence of pan - resistance Acinetobacter baumannii strains are responsible for the development of SIRS finished fatal.


Keywords: Nosocomial meningoencephalitis, ICU, multidrug- resistant bacterial flora, Acinetobacter baumannii
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How to cite this article:

Anna Kircheva and Rumen Konstantinov. 2016. Fatal Nosocomial meningoencephalitis Caused by Multidrug-Resistant Staphylococcus and Acinetobacter baumannii.Int.J.Curr.Microbiol.App.Sci. 5(12): 930-932. doi: http://dx.doi.org/10.20546/ijcmas.2016.512.101