First reported case of intraventricular tigecycline for meningitis from extremely drug-resistant Acinetobacter baumannii

Liverana Lauretti, Quintino Giorgio D'Alessandris, Massimo Fantoni, Tiziana D'Inzeo, Eduardo Fernandez, Roberto Pallini, Giancarlo Scoppettuolo

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

The authors report on the first case of the intraventricular administration of tigecycline described in the Western literature. A 22-year-old man developed cerebrospinal fluid infection from an extremely drug-resistant strain of Acinetobacter baumannii as a complication of endoscopic transsphenoidal surgery for the removal of a giant pituitary adenoma. The patient was safely and successfully treated with the prolonged intraventricular administration of tigecycline. Here, the authors provide the schedule details that can be invaluable in treating meningitis from extremely drug-resistant bacterial strains. Intraventricular tigecycline can be a valuable tool against multidrug-resistant central nervous system infections.
Original languageEnglish
Pages (from-to)370-373
Number of pages4
JournalJournal of Neurosurgery
Volume127
DOIs
Publication statusPublished - 2017

Keywords

  • Acinetobacter
  • CNS = central nervous system
  • CSF = cerebrospinal fluid
  • IV = intravenous
  • IVT = intraventricular
  • MDR = multidrug resistant
  • XDR = extremely drug resistant
  • infection
  • intraventricular therapy
  • meningitis
  • tigecycline
  • transsphenoidal surgery

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