title: Multi-drug-resistant Acinetobacter baumannii intra-abdominal abscess.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore. bsgkp@hotmail.com
authors.forename: Brian K P
authors.initials: BK
authors.lastname: Goh
authors.forename: Ghassan
authors.initials: G
authors.lastname: Alkouder
authors.forename: Thichen K
authors.initials: TK
authors.lastname: Lama
authors.forename: Carolyn E L
authors.initials: CE
authors.lastname: Tan
mesh_terms: 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*