Experience in the management of gunshot head injury with infectious complications caused by polyresistant and atypical (Elizabethkingie anopheles) pathogens

Gunshot wounds and traumas of the skull and brain (GSW) are associated with a high-risk group for the development of infectious complications, including craniocerebral, organ and systemic complications. This publication presents a clinical experience in the management of infectious complications in a victim with a gunshot penetrating craniocerebral wound. The microbiological landscape of complications was represented by both standard microflora ( Acinetobacter baumannii CARB (PR), Klebsiella pneumoniae CARB+ESBL (MDR), S treptococcus oralis ) and non-standard microflora. Elizabethkingia anophelis was detected for the first time in the sputum of a wounded person under hospital conditions. These are aerobic immobile Gram-negative bacilli that do not form spores, isolated from the gut of the mosquito Anopheles gambiae. This microbe can cause meningoencephalitis and is characterized by resistance to natural antibiotics such as ampicillin, chloramphenicol, kanamycin, streptomycin and tetracycline. A positive effect of the ongoing complex treatment, including intra-arterial and intravenous administration of antibacterial drugs, was achieved.