Successful Medical Treatment in a Child with E. Coli ESBL Meningitis with Acute Communicating Hydrocephalus and Ventricular Empyema: A Case report
Chanapai Chaiyakulsil MD*, Olarn Prommalikit MD*
Affiliation : * Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand
Extended-spectrum beta-lactamase (ESBL) producing organisms cause wide spectrum of diseases including urinary tract infection, cholangitis, intra-abdominal abscess or pneumonia but rarely meningitis. The present report a successful non- surgical, medical treatment in a child with Escherichia coli ESBL meningitis with acute symptomatic communicating hydrocephalus and ventricular empyema. Incidence of infections from ESBL producing organisms are increasingly emerging and causing wide spectrum of illnesses which prompts for both aggressive medical and surgical intervention to prevent morbidity and mortality. Antimicrobial agents must be vigilantly utilized to prevent possible development of new highly- resistant organisms.
Keywords : Extended-spectrum beta-lactamase (ESBL), Escherichia coli, Meningitis
