title: Postcraniofacial trauma multidrug resistant Acinetobacter baumannii infection treated with intravenous colistin: a rare complication.
abstract: Nosocomial meningitis is a rare complication of combined craniofacial and neurosurgical procedures. The increase in meningitis caused by multidrug-resistant (MDR) Acinetobacter baumannii has resulted in a significant reduction in available treatment options. We report a case of 52-year-old man who sustained a complex craniofacial trauma, who developed nosocomial MDR infection caused by A. baumannii in the wound. Patient was at significant risk of developing meningitis but, he was successfully treated with intravenous colistin. To conclude, patients with complex maxillofacial trauma are at high risk of MDR A. baumannii meningitis, especially in craniofacial intensive care units, and adequate infection control measures with proper institution of antibiotics, should be used to reduce the risk of this infection.
authors.affiliation: Department of Oral and Maxillofacial Surgery and Oral Implantology, ITS Dental College, Murad Nagar, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Rastogi
authors.forename: Anurag
authors.initials: A
authors.lastname: Gupta
authors.forename: Raja S
authors.initials: RS
authors.lastname: Narne
authors.forename: Mahendra P
authors.initials: MP
authors.lastname: Reddy
authors.forename: Mansi
authors.initials: M
authors.lastname: Bansal
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Kumar
mesh_terms: D000151:Acinetobacter Infections / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000187:drug effects / Q000302:isolation & purification*; D003091:Colistin / Q000008:administration & dosage / Q000627:therapeutic use*; D024901:Drug Resistance, Multiple, Bacterial; D005151:Facial Injuries / Q000188:drug therapy*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D012886:Skull / Q000293:injuries*; D014947:Wounds and Injuries / Q000150:complications / Q000628:therapy*
chemical_list: D003091:Colistin