Brain abscess caused by multidrug-resistant Acinetobacter baumannii. Case report.
This 24-year-old soldier had a history of polytrauma caused by firearm missiles of a fragmentation weapon. He was referred to the Hospital Militar Central, where multiple shrapnel wounds in the head, face, thorax, and extremities were found. A brain abscess was documented and drained, and a culture grew a multidrug-resistant Acinetobacter baumannii. An appropriate antibiotic treatment was started but did not lead to a good response, and the patient died. The clinical course of the illness is presented, as is its treatment and the role of A baumannii as an etiological agent of a brain abscess. To the authors' knowledge, there have been no reported cases in the worldwide literature of brain abscess by this infectious agent.
Guinand Vives
Carlos H
CH
Department of Neurosurgery, Hospital Militar Central, Bogotá, D.C., Colombia.
Monsalve Duarte
Guillermo A
GA
Beltrán
Sandra Valderrama
SV
Pinzón
Johanna Osorio
JO
D000151:Acinetobacter Infections / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000187:drug effects; D001922:Brain Abscess / Q000382:microbiology*; D024901:Drug Resistance, Multiple, Bacterial; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications; D055815:Young Adult