Moiz Salwa, Rahman Omar, Morcos Mark, Siddiqui Asma, Hameed Usman Bin
Center for Aging Research, Regenstrief Institute, Indianapolis, USA.
Department of Pulmonary and Critical Care, Indiana University School of Medicine, Indianapolis, USA.
Access Microbiol. 2020 Sep 3;2(11):acmi000167. doi: 10.1099/acmi.0.000167. eCollection 2020.
is a rare non-tuberculous organism associated with catheter-related infections when pathogenic in humans. We present the first case of an external ventricular drain (EVD)-associated meningitis.
A 55-year-old woman had EVD placement for obstructive hydrocephalus following traumatic subarachnoid haemorrhage. Cerebrospinal fluid (CSF) was obtained 5 days later for fever and neurological changes. was ultimately isolated from the CSF and the patient was placed on appropriate antibiotics. Her management included replacement of the EVD and a prolonged course of anti-mycobacterial antibiotics. CSF findings showed her response to therapy and neurological exam improved after 6 weeks.
infections are very rare and existing reports indicate that it may be a device- or catheter-related pathogen. This microorganism has not been previously associated with an EVD. Ours may be the first documented report of EVD-related infection.
是一种罕见的非结核性生物体，在人类致病时与导管相关感染有关。我们报告首例与外置脑室引流管（EVD）相关的脑膜炎病例。
一名55岁女性因创伤性蛛网膜下腔出血后梗阻性脑积水而放置了EVD。5天后因发热和神经功能改变获取了脑脊液（CSF）。最终从脑脊液中分离出了 ，并给予患者适当的抗生素治疗。她的治疗包括更换EVD以及延长抗分枝杆菌抗生素疗程。脑脊液检查结果显示了她对治疗的反应，6周后神经检查有所改善。
感染非常罕见，现有报告表明它可能是一种与器械或导管相关的病原体。这种微生物以前未与EVD相关联。我们的病例可能是首例有记录的与EVD相关的 感染报告。
