Abstract
Citrobacter diversus is a cause of severe meningitis in neonates and infants. It is unique in its propensity to produce brain abscesses that play an important role in the poor prognosis associated with this condition. The recommended therapeutic regimen of third-generation cephalosporines, aminoglycosides and trimethoprim-sulfamethoxazole is usually disappointing. We describe the use of imipenemcilastatin in successfully treating Citrobacter diversus meningitis complicated by brain abscesses.
MeSH terms
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Anti-Bacterial Agents / therapeutic use*
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Brain Abscess / complications
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Brain Abscess / diagnosis
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Brain Abscess / drug therapy
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Cilastatin / therapeutic use*
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Cilastatin, Imipenem Drug Combination
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Citrobacter*
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Drug Combinations
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Enterobacteriaceae Infections / diagnosis
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Enterobacteriaceae Infections / drug therapy*
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Female
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Humans
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Imipenem / therapeutic use*
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Infant, Newborn
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Meningitis, Bacterial / complications
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Meningitis, Bacterial / diagnosis
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Meningitis, Bacterial / drug therapy*
Substances
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Anti-Bacterial Agents
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Drug Combinations
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Cilastatin
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Imipenem
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Cilastatin, Imipenem Drug Combination