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CASE REPORT Table of Contents   
Year : 2013  |  Volume : 24  |  Issue : 6  |  Page : 759-761
Postcraniofacial trauma multidrug resistant Acinetobacter Baumannii infection treated with intravenous colistin: A rare complication


1 Department of Oral and Maxillofacial Surgery and Oral Implantology, ITS Dental College, Murad Nagar, India
2 Departments of Oral and Maxillofacial Surgery, Shree Bankey Bihari Dental College and Research Center, Ghaziabad, India
3 Sree Sai Dental College and Research Institute, Sreekakulam, Andhra Pradesh, India
4 Department of Periodontology, IDST, Kadrabad, Modinagar, India

Correspondence Address:
Sanjay Rastogi
Department of Oral and Maxillofacial Surgery and Oral Implantology, ITS Dental College, Murad Nagar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9290.127629

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Nosocomial meningitis is a rare complication of combined craniofacial and neurosurgical procedures. The increase in meningitis caused by multidrug-resistant (MDR) Acinetobacter baumannii has resulted in a significant reduction in available treatment options. We report a case of 52-year-old man who sustained a complex craniofacial trauma, who developed nosocomial MDR infection caused by A. baumannii in the wound. Patient was at significant risk of developing meningitis but, he was successfully treated with intravenous colistin. To conclude, patients with complex maxillofacial trauma are at high risk of MDR A. baumannii meningitis, especially in craniofacial intensive care units, and adequate infection control measures with proper institution of antibiotics, should be used to reduce the risk of this infection


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