Traumatic Acinetobacter Baumannii Meningitis Without Neuro surgical Intervention– A Rare Case Report


Vol 7 | Issue 1 | January-April 2021 | Page 22-25 | Suresh. J, Balaji. T, V. Santhosh, M. Nithish Mukunthan,
A. L. Shanmuga Priya, Rajaram Manoharan

Author: Suresh. J [1], Balaji. T [1], V. Santhosh [1], M. Nithish Mukunthan [1],
A. L. Shanmuga Priya [1], Rajaram Manoharan [1]

[1] Department of Anaesthesia and Critical Care, Preethi Institute of Medical Sciences and Research Uthangudi, Madurai, Tamil Nadu, India.

Address of Correspondence
Dr. Suresh. J,
Department of Anaesthesia and critical care, Preethi institute of medical sciences and research uthangudi , Madurai, Tamil Nadu, India.

Traumatic Acinetobacter Baumannii Meningitis Without Neuro surgical Intervention– A Rare Case Report


Acute bacterial meningitis is a medical emergency that warrants an early diagnosis and aggressive therapy. Despite the availability of potent newer antibiotics, the mortality caused by acute meningitis and its complication remains high in India, ranging from 16% to 32%. The aim of this case report is to present the isolation of Acinetobacter baumannii from cerebrospinal fluid(CSF) of an elderly male following trauma without any neurosurgical intervention and without any evident cerebrospinal fluid otorrhea or rhinorrhea.

Keywords: CSF; Acinetobacter; Colistin; Intraventricular.


1. . Karageorgopoulos DE, Falagas ME. Current control and treatment of multidrug-
resistant Acinetobacter baumannii infections. Lancet Infect Dis. 2008;8:751–62. [PubMed] [Google Scholar

2. Perez F, Hujer AM, Hujer KM, Decker BK, Rather PN, Bonomo RA. Global challenge of multidrug-resistant Acinetobacter baumannii. Antimicrob Agents Chemother. 2007;51:3471–84. [PMC free article] [PubMed] [Google Scholar]
3. Hussein AS, Shafran SD. Acute bacterial meningitis in adults. A 12-year review. Medicine (Baltimore) 2000;79:360–68. [PubMed] [Google Scholar]
4. Husain E, Chawla R, Dobson S, Dele Davies H. Epidemiology and outcome of bacterial meningitis in Canadian children: 1998–1999. Clin Invest Med. 2006;29:131–35. [PubMed] [Google Scholar]
5. Weisfelt M, van de Beek D, Spanjaard L, de Gans J. Nosocomial bacterial meningitis in adults: a prospective series of 50 cases. J Hosp Infect. 2007;66:71–78. [PubMed] [Google Scholar]
6. Korinek AM, Baugnon T, Golmard JL, van Effenterre R, Coriat P, Puybasset L. Risk factors for adult nosocomial meningitis after craniotomy: role of antibiotic prophylaxis. Neurosurgery. 2006;59:126–33. discussion 126–33. [PubMed] [Google Scholar]
7. Siegman-Igra Y, Bar-Yosef S, Gorea A, Avram J. Nosocomial acinetobacter meningitis secondary to invasive procedures: report of 25 cases and review. Clin Infect Dis. 1993;17:843–49. [PubMed] [Google Scholar]
8. Chen SF, Chang WN, Lu CH, et al. Adult acinetobacter meningitis and its comparison with non-acinetobacter gram-negative bacterial meningitis. Acta Neurol Taiwan. 2005;14:131–37. [PubMed] [Google Scholar]
9. Huttova M, Freybergh PF, Rudinsky B, et al. Postsurgical meningitis caused by Acinetobacter baumannii associated with high mortality. Neuro Endocrinol Lett. 2007;28 (suppl 2):15–16. [PubMed] [Google Scholar]
10. Juni E. Interspecies transformation of Acinetobacter: genetic evidence for a ubiquitous genus. J Bacteriol 1972; 112:917
11. Rice LB. Federal funding for the study of antimicrobial resistance in nosocomial pathogens: no ESKAPE. J Infect Dis 2008; 197:1079.
12. Mugnier P, Poirel L, Pitout M, Nordmann P. Carbapenem-resistant and OXA-23-producing Acinetobacter baumannii isolates in the United Arab Emirates. Clin Microbiol Infect 2008; 14:879.
13. Tacconelli E, Cataldo MA, De Pascale G, et al. Prediction models to identify hospitalized patients at risk of being colonized or infected with multidrug-resistant Acinetobacter baumannii calcoaceticus complex. J Antimicrob Chemother 2008; 62:1130.
14. Lemos EV, de la Hoz FP, Einarson TR, et al. Carbapenem resistance and mortality in patients with Acinetobacter baumannii infection: systematic review and meta-analysis. Clin Microbiol Infect 2014; 20:416.
15. Rodríguez Guardado A, Maradona JA, Asensi V, et al. [Postsurgical meningitis caused by Acinetobacter baumannii: study of 22 cases and review of the literature]. Rev Clin Esp 2001; 201:497.
16. Fishbain J, Peleg AY. Treatment of Acinetobacter infections. Clin Infect Dis 2010; 51:79.
17. Kim BN, Peleg AY, Lodise TP, et al. Management of meningitis due to antibiotic-resistant Acinetobacter species. Lancet Infect Dis 2009; 9:245.
18. Jiménez-Mejías ME, Pichardo-Guerrero C, Márquez-Rivas FJ, et al. Cerebrospinal fluid penetration and pharmacokinetic/pharmacodynamic parameters of intravenously administered colistin in a case of multidrug-resistant Acinetobacter baumannii meningitis. Eur J Clin Microbiol Infect Dis 2002; 21:212.
19. Ng J, Gosbell IB, Kelly JA, et al. Cure of multiresistant Acinetobacter baumannii central nervous system infections with intraventricular or intrathecal colistin: case series and literature review. J Antimicrob Chemother 2006; 58:1078.

How to Cite this Article: Suresh J, Balaji T, Santhosh V, Mukunthan MN, Priya ALS, Manoharan R | Traumatic Acinetobacter Baumannii Meningitis Without Neuro surgical Intervention– A Rare Case Report | Journal of Anaesthesia and Critical Care Case Reports | January-April 2021;
7(1): 22-25.

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