Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 4, Number 7, July 2013, pages 511-514


A Case of Community-Onset Bacterial Meningitis due to Extended-Spectrum Beta-Lactamase Producing Escherichia coli

Tables

Table 1. Drug Susceptibility Test of E. coli in Our Case
 
DrugMIC (µg/mL)Susceptibility
MIC: minimum inhibitory concentration.
Ampicillin> 16R
Piperacillin> 64R
Amoxicillin-clavulanate16I
Cefazolin>16R
Cefotium> 16R
Cefotaxime> 32R
Ceftazidime> 16R
Cefpirome> 16R
Cefmetazole≤ 4S
Cefaclor> 16R
Cefcapene-pivoxil> 1R
Flomoxef≤ 8S
Cefoperazone-sulbactam>16R
Imipenem-cilastatine≤ 1S
Aztreonam> 16R
Gentamicin> 8R
Amikacin≤ 4S
Levofloxacin> 4R
Trimethoprim-sulfamethoxazole≤ 2S

 

Table 2. Review of the Literature, Including the Present Case
 
RefAgeGenderBackgroundComplicationPathogenEmpiric therapyDefinitive therapyOutcome
Ref: reference; Un: unknown; CTRX: ceftriaxone; Vanco: vancomycin; MEPM: meropenem; GM: gentamicin; CPFX: ciprofloxacin.
672FDiabetes mellitusVertebral osteomyelitisE. coliCTRX + VancoMEPM + GMCured
759UnNothingMycotic aneurysmE. coliCTX + ABPC + GMMEPM + CPFXDied
our case63MChronic renal failure, post-endoscopic sphincterotomyAcute pyogenic cholangitisE. coliCTRX + VancoMEPMDied