Deep neck abscess due to Acinetobacter baumannii infection.
Acinetobacter baumannii strains are isolated in up to 1% of nosocomial infections mostly from intensive care units immunocompromised patients and are associated with high mortality rates. A baumannii infections include pneumonia, urinary tract infection, endocarditis, skin and soft-tissue infections, surgical-site infection, meningitis, osteomyelitis, and septicemia. We report an extremely rare case of deep neck abscess due to multidrug-resistant A baumannii infection. The isolate strain was analyzed by a repetitive sequence-based polymerase chain reaction typing method: the isolate profile was compared with other strains obtained from isolates recovered in the hospital in that period. Our patient underwent 2 neck explorations and antibiotic treatment (tigecycline 50 mg, twice per day). Five weeks after admission, the patient was discharged in good general conditions. Considering the other obtained strains, 4 different profiles were identified, one as prominent (profile A, 18 isolates), the index case (B), and 2 others (C, D) as divergent.
Marioni
Gino
G
Section of Otolaryngology, Department of Medical and Surgical Specialties, Padova University, Padova, Italy. gino.marioni@unipd.it
Marchese-Ragona
Rosario
R
Boldrin
Caterina
C
Parisi
Saverio G
SG
Vianello
Andrea
A
Prencipe
Raffaella S
RS
Breda
Cristiano
C
Staffieri
Alberto
A
Rinaldi
Roberto
R
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000151:Acinetobacter Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D040981:Acinetobacter baumannii / Q000302:isolation & purification*; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009333:Neck; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents