Nejmi KIYMAZ, Burhan Oral BÜDÜ, Metehan ESEOĞLU, İsmail DEMİR

Vancomycin-Resistant Enterococcus Ventriculitis in a Child

Hidrosefalinin tedavisinde yaygın olarak kullanılan ventrikülo-peritoneal (VP) şantlarda, karşılaşılan zorlukların başında şant effeksiyonları gelmektedir. VP şant enfeksiyonuna bağlı ventrikülit tespit ettiğimiz 1,5 yaşındaki erkek hastada VP şantı çıkarıp, eksternal ventriküler drenaja aldık. Ampirik olarak vankomisin ve sefotaksim tedavisi başlandı. Beyin omurilik sıvısı kültüründe vankomisine rezistans enterobakter facium üremesi üzerine intravenöz linezolid ve imipenam tedavisi başlandı. 45 gün sonra hastaya tekrar VP şant takıldı. Bu çalışmada vankomisine rezistans enterokok ventrikülitinin linezolid ile başarılı tedavisini sunduk

Anahtar Kelimeler:

Çocuk, ventrikülit, linezolid

Vancomycin-Resistant Enterococcus Ventriculitis in a Child

One of the most frequently encountered problems associated with ventriculoperitoneal (VP) shunts which are used in the treatment of hydrocephaly is infection. Staphylococcus is considered the most prominent factor in VP shunt infections; Enterococcus is less likely to cause ventriculitis in such patients. A shunt ventriculitis was demonstrated in a 1.5-year-old boy. The VP shunts was removed and an external ventricular drainage system was inserted. Subsequently empiric vancomycin and cephotaxime treatment was started. Vancomycin-resistant Enterococcus faecium (VREF) began to proliferate in the cerebrospinal fluid culture, and therefore we initiated linezolid and imipenem therapy by the intravenous route. The patient underwent a VP shunt operation 45 days after. In this study, successful therapy with linezolid in VP shunt ventriculitis due to VREF is presented.

Keywords:

Child, ventriculitis, linezolid,

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