Revista da Sociedade Brasileira de Medicina Tropical (Feb 2016)

New Delhi metallo-beta-lactamase-1-producing Acinetobacter spp. infection: report of a survivor

  • Fabiana Schuelter-Trevisol,
  • Graciane Jacinta Schmitt,
  • Jane Martins de Araújo,
  • Liliane Braga de Souza,
  • Juliana Gomes Nazário,
  • Raquel Landuchi Januário,
  • Rogério Sobroza de Mello,
  • Daisson José Trevisol

DOI
https://doi.org/10.1590/0037-8682-0150-2015
Journal volume & issue
Vol. 49, no. 1
pp. 130 – 134

Abstract

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Abstract: New Delhi metallo-beta-lactamase-1 (NDM-1) is a bacterial enzyme that renders the bacteria resistant to a variety of beta-lactam antibiotics. A 20-year-old man was hospitalized several times for surgical treatment and complications caused by a right-sided vestibular schwannoma. Although the patient acquired several multidrug-resistant infections, this study focuses on the NDM-1-producing Acinetobacter spp. infection. As it was resistant to all antimicrobials tested, the medical team developed a 20-day regimen of 750mg/day metronidazole, 2,000,000IU/day polymyxin B, and 100mg/day tigecycline. The treatment was effective, and the patient recovered and was discharged from the hospital.

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