Unveiling Therapeutic Challenges: A Unique Case of Intracranial Myroides odoratimimus Infection Following Hemorrhagic Stroke.

IF 1.4 4区 医学 Q4 INFECTIOUS DISEASES Surgical infections Pub Date : 2024-10-22 DOI:10.1089/sur.2024.215
Yosr Kadri, Oumayma Belhouane, Ons Haddad, Yassmine Maatouk, Ahmed Daoued, Kais Maamri, Mehdi Darmoul, Maha Mastouri
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Abstract

Intracranial infections post-neurosurgical procedure pose substantial morbidity and mortality risks. Myroides odoratimimus, an opportunistic gram-negative pathogen, represents a real challenge because of limited clinical experience. This article details the second reported case of intracranial M. odoratimimus infection associated with external ventricular drains in an immunocompetent adult. Treatment involved a 21-day course of intravenous antibiotherapy using meropenem and vancomycin. This case underscores the complexity of managing rare complications, providing insights into therapeutic strategies for this challenging condition.

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揭示治疗难题:出血性中风后颅内糠秕孢子菌感染的独特病例。
神经外科手术后的颅内感染具有很大的发病率和死亡率风险。臭腥蕈是一种机会性革兰阴性病原体,由于临床经验有限,因此是一项真正的挑战。本文详细介绍了第二例与脑室外引流相关的颅内臭蕈感染病例,患者为免疫功能正常的成年人。治疗包括使用美罗培南和万古霉素进行为期 21 天的静脉抗生素治疗。该病例凸显了处理罕见并发症的复杂性,为这一棘手病症的治疗策略提供了启示。
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来源期刊
Surgical infections
Surgical infections INFECTIOUS DISEASES-SURGERY
CiteScore
3.80
自引率
5.00%
发文量
127
审稿时长
6-12 weeks
期刊介绍: Surgical Infections provides comprehensive and authoritative information on the biology, prevention, and management of post-operative infections. Original articles cover the latest advancements, new therapeutic management strategies, and translational research that is being applied to improve clinical outcomes and successfully treat post-operative infections. Surgical Infections coverage includes: -Peritonitis and intra-abdominal infections- Surgical site infections- Pneumonia and other nosocomial infections- Cellular and humoral immunity- Biology of the host response- Organ dysfunction syndromes- Antibiotic use- Resistant and opportunistic pathogens- Epidemiology and prevention- The operating room environment- Diagnostic studies
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