Jindal Navodhya, Jain Sonia, Bhowmick Arghya, Bhargava Vyom
Harvard Medical Centre, Moga 142001, Punjab, India.
Department of Paramedical Science, Lala Lajpat Rai College of Pharmacy, Moga 142001, Punjab, India.
Medicines (Basel). 2022 Mar 31;9(4):27. doi: 10.3390/medicines9040027.
Background: Acinetobacter spp. are a potential life-threatening cause of severe meningitis noted as a nosocomial infection after neurosurgical procedures in patients admitted to neurosurgical ICUs. Community-acquired Acinetobacter meningitis is extremely rare, and only a few cases have been reported in the literature. Case presentation: In this study, we report a patient from Punjab, India, who was infected after a roadside accident in which he developed CSF otorrhea and subsequent meningitis with Acinetobacter lwoffii. The patient was managed with the cephalosporin group of antibiotics as per the sensitivity report. For the first time, we report a rare case report of community-acquired Acinetobacter meningitis from Punjab, India. Conclusions: This case report highlights the potential pathogenicity of Acinetobacter lwoffii and increases concerns that this organism might rapidly evolve into a dreadful antibiotic-resistant community pathogen.
不动杆菌属是严重脑膜炎的一个潜在的危及生命的病因，在入住神经外科重症监护病房的患者中，它被视为神经外科手术后的医院感染。社区获得性不动杆菌脑膜炎极为罕见，文献中仅报道了少数病例。病例报告：在本研究中，我们报告了一名来自印度旁遮普邦的患者，他在一次路边事故后感染，事故中他出现了脑脊液耳漏，随后感染了洛菲不动杆菌并引发脑膜炎。根据药敏报告，该患者使用头孢菌素类抗生素进行治疗。我们首次报告了一例来自印度旁遮普邦的社区获得性不动杆菌脑膜炎的罕见病例报告。结论：本病例报告突出了洛菲不动杆菌的潜在致病性，并增加了人们对该病原体可能迅速演变成一种可怕的耐抗生素社区病原体的担忧。
