A Difficult Case of Ventriculitis in a 40-Year-Old Woman with Acute Myeloid Leukemia

Autor: Raffaella Rubino, Marcello Trizzino, Luca Pipitò, Giuseppe Sucato, Marco Santoro, Rosario Maugeri, Domenico Gerardo Iacopino, Giovanni Maurizio Giammanco, Sergio Siragusa, Antonio Cascio
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Antibiotics, Vol 13, Iss 5, p 432 (2024)
Druh dokumentu: article
ISSN: 2079-6382
DOI: 10.3390/antibiotics13050432
Popis: Ventriculitis and nosocomial meningitis caused by carbapenem-resistant Gram-negative and vancomycin-resistant Gram-positive bacteria represent a growing treatment challenge. A case of ventriculitis and bacteremia caused by carbapenem-resistant, KPC-producing Klebsiella pneumoniae and vancomycin-resistant Enterococcus faecium in a young woman with acute leukemia who was successfully treated with meropenem/vaborbactam (MVB), rifampicin, and linezolid is described in this paper. This case report emphasizes the importance of a multidisciplinary strategy, including infectious focus control, for the treatment of device-associated central nervous system (CNS) infections from multidrug-resistant bacteria. Considering the novel resistance patterns, more research on drug penetration into the central nervous system, as well as on the necessity of association therapies, is needed.
Databáze: Directory of Open Access Journals