| Literature DB >> 27458980 |
J P Mills1, M B Wilck2, B C Weikert2, P M Porrett3, D Timko4, K Alby5, R A Bonomo6,7, E A Blumberg2.
Abstract
Donor-derived infections with multidrug-resistant gram-negative bacteria are associated with poor outcomes, in part because of limited treatment options. Here, we describe a case of donor-derived, disseminated infection with colistin-resistant, carbapenemase-producing Klebsiella pneumoniae in a liver transplant recipient that was cured with addition of intravenous fosfomycin to a multidrug regimen, in conjunction with aggressive surgical source control. Intravenous fosfomycin represents a promising adjunctive agent for use in treatment of extensively drug-resistant infections in immunocompromised hosts.Entities:
Keywords: carbapenem-resistant Klebsiella pneumoniae (CRKP); extremely drug-resistant (XDR); fosfomycin; orthotopic liver transplantation (OLT)
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Year: 2016 PMID: 27458980 PMCID: PMC5050106 DOI: 10.1111/tid.12578
Source DB: PubMed Journal: Transpl Infect Dis ISSN: 1398-2273 Impact factor: 2.228