Multi-drug-resistant Acinetobacter baumannii intra-abdominal abscess.
BACKGROUND
Multi-drug-resistant bacteria are rarely isolated from patients with acute appendicitis.


METHODS
Case report and literature review.


RESULTS
We report an unusual case of post-appendectomy intra-abdominal abscess with intra- operative cultures that grew multi-drug-resistant Acinetobacter baumannii. An 11-year-old boy underwent open appendectomy for perforated appendicitis. He developed a superficial surgical site infection at the Penrose drain site on the seventh postoperative day; cultures grew multi-drug-resistant Acinetobacter baumannii. A computed tomography scan revealed an intra- abdominal abscess. Open drainage was performed, and intra-operative cultures grew the same multi-drug-resistant A. baumannii along with Escherichia coli.


CONCLUSIONS
Post-operative therapy with ceftriaxone may have predisposed the patient to nosocomial infection caused by multi-drug-resistant A. baumannii.
Goh
Brian K P
BK
Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore. bsgkp@hotmail.com
Alkouder
Ghassan
G
Lama
Thichen K
TK
Tan
Carolyn E L
CE
D018784:Abdominal Abscess / Q000382:microbiology*; D000151:Acinetobacter Infections / Q000382:microbiology*; D040981:Acinetobacter baumannii / Q000302:isolation & purification*; D001062:Appendectomy / Q000009:adverse effects; D001064:Appendicitis / Q000601:surgery; D002648:Child; D003428:Cross Infection / Q000382:microbiology; D024901:Drug Resistance, Multiple, Bacterial; D006801:Humans; D008297:Male; D013530:Surgical Wound Infection / Q000382:microbiology*