Appendicitis Research Today is a free monthly online journal that collates and summarizes the latest research about Appendicitis, including details on symptoms, surgery, causes, treatment.

Multi-drug-resistant Acinetobacter baumannii intra-abdominal abscess.

Goh BK, Alkouder G, Lama TK, Tan CE

Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore. bsgkp@hotmail.com

BACKGROUND: Multi-drug-resistant bacteria are rarely isolated from patients with acute appendicitis. METHODS: Case report and literature review. RESULTS: We report an unusual case of post-appendectomy intra-abdominal abscess with intra- operative cultures that grew multi-drug-resistant Acinetobacter baumannii. An 11-year-old boy underwent open appendectomy for perforated appendicitis. He developed a superficial surgical site infection at the Penrose drain site on the seventh postoperative day; cultures grew multi-drug-resistant Acinetobacter baumannii. A computed tomography scan revealed an intra- abdominal abscess. Open drainage was performed, and intra-operative cultures grew the same multi-drug-resistant A. baumannii along with Escherichia coli. CONCLUSIONS: Post-operative therapy with ceftriaxone may have predisposed the patient to nosocomial infection caused by multi-drug-resistant A. baumannii.

Published 5 October 2005 in Surg Infect (Larchmt), 6(3): 345-7.
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