Lishner M, Scheinbaum R, Messner H A
Department of Medicine, Meir Hospital Kfar-Saba, Israel.
Scand J Infect Dis. 1991;23(1):101-4. doi: 10.3109/00365549109023381.
Ommaya reservoirs are frequently used in the treatment of patients with meningeal involvement by malignant diseases. The reported infectious complications range between 5-50%. We describe a 35-year-old male patient with Staphylococcus epidermidis infection of an Ommaya reservoir in whom intravenous antibiotics and removal of the reservoir failed to eradicate the organism. The patient was treated successfully by intrathecal injections of vancomycin. Patients with Ommaya reservoir related infections that persist in spite of shunt removal may derive a therapeutic benefit from the intrathecal administration of appropriate antibiotics.
奥马亚贮液器常用于治疗恶性疾病累及脑膜的患者。报道的感染并发症发生率在5%至50%之间。我们描述了一名35岁男性患者，其奥马亚贮液器发生表皮葡萄球菌感染，静脉使用抗生素和移除贮液器均未能根除该病菌。通过鞘内注射万古霉素成功治疗了该患者。尽管移除了分流装置，但奥马亚贮液器相关感染仍持续存在的患者，鞘内给予适当抗生素可能会有治疗效果。
