Deep neck abscess due to Acinetobacter baumannii infection

作者：Marioni Gino^*; Marchese Ragona Rosario; Boldrin Caterina; Parisi Saverio G; Vianello Andrea; Prencipe Raffaella S; Breda Cristiano; Staffieri Alberto; Rinaldi Roberto

来源：American Journal of Otolaryngology, 2010, 31(4): 304-307.

DOI：10.1016/j.amjoto.2009.02.018

Acinetobacter baumannii strains are isolated in up to 1% of nosocomial infections mostly from intensive care units immunocompromised patients and are associated with high mortality rates. A baumannii infections include pneumonia, urinary tract infection, endocarditis, skin and soft-tissue infections, surgical-site infection, meningitis, osteomyelitis, and septicemia. We report an extremely rare case of deep neck abscess due to multidrug-resistant A baumannii infection. The isolate strain was analyzed by a repetitive sequence-based polymerase chain reaction typing method: the isolate profile was compared with other strains obtained from isolates recovered in the hospital in that period. Our patient underwent 2 neck explorations and antibiotic treatment (tigecycline 50 mg, twice per day). Five weeks after admission, the patient was discharged in good general conditions. Considering the other obtained strains, 4 different profiles were identified, one as prominent (profile A, 18 isolates), the index case (B), and 2 others (C, D) as divergent.

• 出版日期2010-8