First Initial community-acquired meningitis due to extended-spectrum beta-lactamase producing Escherichia coli complicated with multiple aortic mycotic aneurysms

被引：7

作者：

Weyrich, Pierre ^{[1
]}

Ettahar, Nicolas ^{[1
]}

Legout, Laurence ^{[1
]}

Meybeck, Agnes ^{[2
]}

Leroy, Olivier ^{[2
]}

Senneville, Eric ^{[1
]}

机构：

[1] Dron Hosp, Dept Infect Dis, Tourcoing, France

[2] Dron Hosp, Intens Care Unit, Tourcoing, France

来源：

ANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALS | 2012年 / 11卷

关键词：

aortic mycotic aneurysm; ESBL producing Escherichia coli; meningitis; GRAM-NEGATIVE BACILLI; BACTERIAL-MENINGITIS; ADULTS; EPIDEMIOLOGY; MEROPENEM;

D O I：

10.1186/1476-0711-11-4

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

We report the first case of extended-spectrum beta-lactamase producing E. coli community-acquired meningitis complicated with multiple aortic mycotic aneurysms. Because of the acute aneurysm expansion with possible impending rupture on 2 abdominal CT scan, the patient underwent prompt vascular surgery and broad spectrum antibiotic therapy but he died of a hemorrhagic shock. Extended-spectrum beta-lactamase producing E. coli was identified from both blood and cerebrospinal fluid culture before vascular treatment. The present case report does not however change the guidelines of Gram negative bacteria meningitis in adults.

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页数：4

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