ABSTRACT
Intrathecal colistin (Polymxin E) is becoming an important option for the treatment of post-neurosurgical meningitis caused by multidrug resistant (MDR) Acinetobacter baumannii. We report a case of 28-year-old man who developed meningitis due to MDR A. baumannii associated with an external ventricular drain. The patient was cured using a 4-week course of intrathecal colistin 3.2 mg via external ventricular drain (EVD) daily without any serious side effects.
Subject(s)
Acinetobacter Infections/drug therapy , Acinetobacter Infections/etiology , Acinetobacter baumannii , Colistin/administration & dosage , Craniocerebral Trauma/surgery , Drug Resistance, Multiple, Bacterial , Meningitis, Bacterial/drug therapy , Meningitis, Bacterial/etiology , Postoperative Complications/drug therapy , Acinetobacter baumannii/drug effects , Adult , Anti-Bacterial Agents/administration & dosage , Drug Resistance, Multiple, Bacterial/drug effects , Humans , Injections, Spinal , MaleABSTRACT
The Macular Photocoagulation Study criteria require that at least 1.5 clock hours of temporal peripapillary retina be spared when treating choroidal neovascular membrane in that location. The authors successfully treated peripapillary choroidal neovascular membrane involving temporal 180 degrees with the krypton laser without any loss of visual acuity and central field.
