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JOURNAL OF CLINICAL AND
BIOMEDICAL SCIENCES
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Case report


Year: 2012 | Volume: 2 | Issue 2 | Page: 87 - 89

Necrotising fascitis due to multidrug resistant Acinetobacter Baumanii: Treatment options

Parimala S, Gokul B N, Sheela S R1, Sriramulu P N2, Beena P M
Department of Microbiology, Obstetrics and Gynaecology1, Surgery2, Sri Devaraj Urs Medical College, Kolar.

We report a case ofnecrotizingfasciitis due to Acinetobacterbaumanii in a patient who underwent lower segment caesarian section. Acinetobacterbaumanii, a multiresistant strain sensitive to Colistin, Polymyxin B and Tetracycline was isolated from the surgical site after the removal of sutures on the post operative day. Though she was treated with Amoxyclav she further developed necrotizingfasciitis. Wound debridement was done. Pus sample following debridement again yielded Acinetobacterbaumanii with same sensitivity. The patient’s condition worsened with profuse discharge and spreading necrosis with onset of systemic symptoms. She was treated with Cefaperazone /Sulbactum to which she responded and recovered uneventfully.
Key words: Acinetobacterbaumanii, Necrotising Fasciitis, Multidrug Resistant

     
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