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Post-traumatic Acinetobacter baumannii Meningitis Following Penetrating Trauma: A Case Report
Wilhelm Hansen1,2, Ingrid Dreyer2, Lourens Botes2
1Department of General Surgery, University of the Witwatersrand, Johannesburg, ZAF.
Cureus
|January 23, 2025
Summary
A trauma patient developed extensively drug-resistant Acinetobacter baumannii meningitis after stab wounds. Prompt diagnosis and multidisciplinary care were vital for recovery, underscoring infection control needs.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Trauma Care
Background:
- Acinetobacter baumannii is a significant nosocomial pathogen, increasingly exhibiting extensive drug resistance (XDR).
- Meningitis in trauma patients presents diagnostic and therapeutic challenges, particularly with XDR bacterial strains.
Observation:
- A 29-year-old male with multiple stab wounds developed XDR Acinetobacter baumannii meningitis despite no initial signs of cerebrospinal fluid (CSF) leakage.
- Imaging revealed a spinal canal breach and abscess formation, necessitating aggressive treatment.
Findings:
- Cultures confirmed XDR Acinetobacter baumannii in both CSF and blood.
- Targeted antibiotic therapy and neurosurgical debridement were critical for the patient's clinical improvement.
Implications:
- This case underscores the importance of early recognition and multidisciplinary management for XDR A. baumannii meningitis in trauma settings.
- Highlights the need for stringent infection control protocols to combat the growing threat of XDR pathogens in healthcare environments.
Keywords:
acinetobacter baumannii meningitisdrug-resistantinfectious diseasesneurosurgerypenetrating trauma
