Meropenem–Vaborbactam for the Treatment of Post-Neurosurgical Meningitis Caused by KPC Producer Klebsiella Pneumoniae: A Case Report and Review of the Literature

Author:

Rezzonico Leonardo Francesco12ORCID,Peracchi Francesco23,Vecchi Marta2,Bassi Gabriele4,Merli Marco2ORCID,Bana Nicholas Brian23,Travi Giovanna2ORCID,Crippa Fulvio2,Puoti Massimo23

Affiliation:

1. School of Medicine, University of Pavia, 27100 Pavia, Italy

2. Department of Infectious Disease, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy

3. School of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy

4. Intensive Care Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy

Abstract

Meningitis and ventriculitis, due to carbapenem-resistant Enterobacterales, are frequently associated with significant morbidity and mortality. In the case of multi-drug-resistant pathogens, it is necessary to consider the limited susceptibility profile as well as the penetration of the antimicrobials into the brain. Limited data are available regarding the treatment of central nervous system infections caused by carbapenem-resistant Enterobacterales. We report a study of a patient treated with meropenem–vaborbactam in the case of post-neurosurgical meningitis due to carbapenemase-producing Klebsiella pneumoniae (CPKP).

Publisher

MDPI AG

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