Long-term compassionate use of cefiderocol to treat chronic osteomyelitis caused by extensively drug-resistant Pseudomonas aeruginosa and extended-spectrum-β-lactamase-producing Klebsiella pneumoniae in a pediatric patient
dc.contributor.author | Alamarat, Zain I. | |
dc.contributor.author | Babic, Jessica T. | |
dc.contributor.author | Tran, Truc T. | |
dc.contributor.author | Wootton, Susan H. | |
dc.contributor.author | Dinh, An Q. | |
dc.contributor.author | Miller, William R. | |
dc.contributor.author | Hanson, Blake M. | |
dc.contributor.author | Wanger, Audrey R. | |
dc.contributor.author | Gary, Joshua L. | |
dc.contributor.author | Arias, Cesar A | |
dc.contributor.author | Pérez, Norma | |
dc.date.accessioned | 2020-05-11T23:39:29Z | |
dc.date.available | 2020-05-11T23:39:29Z | |
dc.date.issued | 2020 | |
dc.description.abstractenglish | We report a 15 year-old Nigerian adolescent male with chronic osteomyelitis caused by an extensively drug-resistant (XDR) Pseudomonas aeruginosa strain of sequence type 773 (ST773) carrying blaNDM-1 and an extended spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae strain. The patient developed neurological side effects in the form of circumoral paresthesia with polymyxin B and asymptomatic elevation of transaminases with aztreonam (used in combination with ceftazidime-avibactam). Cefiderocol treatment for 14 weeks plus bone implantation resulted in apparent cure and avoided amputation. This Journal section presents a real, challenging case involving a multidrug-resistant organism. The case authors present the rationale for their therapeutic strategy and discuss the impact of mechanisms of resistance on clinical outcome. An expert clinician then provides a commentary on the case. | eng |
dc.format.mimetype | application/pdf | |
dc.identifier.doi | https://aac.asm.org/lookup/doi/10.1128/AAC.00059-20 | |
dc.identifier.issn | 0066-4804 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12495/2598 | |
dc.language.iso | eng | |
dc.publisher | American Society for Microbiology | spa |
dc.publisher.journal | American society for microbiology | spa |
dc.relation.ispartofseries | American society for microbiology, 0066-4804, Vol. 64, Nro. 4, 2020 | spa |
dc.relation.uri | https://aac.asm.org/content/64/4/e01872-19.long | |
dc.rights.creativecommons | 2019 | |
dc.rights.local | Acceso cerrado | spa |
dc.subject.decs | Osteomielitis | spa |
dc.subject.decs | Klebsiella | spa |
dc.subject.decs | Salud del niño | spa |
dc.title | Long-term compassionate use of cefiderocol to treat chronic osteomyelitis caused by extensively drug-resistant Pseudomonas aeruginosa and extended-spectrum-β-lactamase-producing Klebsiella pneumoniae in a pediatric patient | spa |
dc.title.translated | Long-term compassionate use of cefiderocol to treat chronic osteomyelitis caused by extensively drug-resistant Pseudomonas aeruginosa and extended-spectrum-β-lactamase-producing Klebsiella pneumoniae in a pediatric patient | spa |
dc.type | article | spa |
dc.type.hasversion | info:eu-repo/semantics/publishedVersion | |
dc.type.local | artículo | spa |
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